Organization
VIPSYCH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS H RUIZ M.D (M.D)
(407) 832-4261
Entity
Organization
Contact information
Practice address
5895 LAKE MELROSE DR, ORLANDO, FL 32829-7690
(407) 932-4261
Mailing address
5895 LAKE MELROSE DR, ORLANDO, FL 32829-7690
(407) 932-4261
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
ME 80316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261229100
—
FL
Enumeration date
10/15/2013
Last updated
10/15/2013
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