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Individual

TIM FRANKLIN RUARK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1401 CENTERVILLE RD STE G02, TALLAHASSEE, FL 32308-4638
(850) 433-1210
(850) 431-2199
Mailing address
1401 CENTERVILLE RD STE G02, TALLAHASSEE, FL 32308-4638
(850) 433-1210
(850) 431-2199

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0066328
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
375634300
FL
Enumeration date
09/01/2006
Last updated
03/29/2018
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