Individual
MARK DAVID RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
79 BAY BRIDGE DR, GULF BREEZE, FL 32561-4468
(850) 741-5438
(850) 726-4784
Mailing address
79 BAY BRIDGE DR, GULF BREEZE, FL 32561-4468
(850) 741-5438
(850) 726-4784
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32858
TX
103TC0700X
Clinical Psychologist
Primary
PY10437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079974401
—
TX
Enumeration date
06/21/2006
Last updated
06/18/2026
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