Individual
BRIANNA NICOLE RUBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6905 MEDICAL VIEW LN, ZEPHYRHILLS, FL 33542-6648
(813) 788-2020
Mailing address
2020 SEVEN SPRINGS BLVD, NEW PORT RICHEY, FL 34655-3933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9118602
FL
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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