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Individual

MS. RUTH ELLEN WERMONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
538 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984-5108
(772) 871-5900
(772) 871-1197
Mailing address
514 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984-5108
(772) 871-5900
(772) 871-1197

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101190
FL

Other

Enumeration date
03/16/2006
Last updated
09/25/2009
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