Individual
GRISEL LEON RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7903 HEATHER CT, TAMPA, FL 33634-2236
(813) 510-9661
Mailing address
7903 HEATHER CT, TAMPA, FL 33634-2236
(813) 510-9661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002688-PA
PR
Other
Enumeration date
08/05/2025
Last updated
12/12/2025
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