Individual
THOMAS J RUANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
842 SUNSET LAKE BLVD, SUITE 403, VENICE, FL 34292-7551
(941) 485-3351
(941) 485-7677
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0062037
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1096806
WELLCARE
FL
01
—
30421201
CITRUS HEALTH
FL
01
—
344469
AVMED
FL
01
—
4271813
AETNA PROVIDER #
FL
01
—
77215K
MEDICARE GROUP
FL
01
—
P00470778
RR MEDICARE
FL
01
—
P01808695
CLEAR HEALTH ALLIANCE
FL
Enumeration date
07/27/2005
Last updated
03/16/2017
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