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Individual

MR. ALEXANDER RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1348 SASSAFRAS AVE, ALTAMONTE SPRINGS, FL 32714
(773) 354-3476
Mailing address
1348 SASSAFRAS AVE, ALTAMONTE SPRINGS, FL 32714-1141
(773) 354-3476

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27528
PTA
FL
Enumeration date
06/08/2017
Last updated
07/21/2022
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