Individual
RODRIGO RUIZ-GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
12700 CREEKSIDE LN STE 301, FORT MYERS, FL 33919-3356
(239) 343-3780
(239) 343-3781
Mailing address
P.O. BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9960
(239) 424-4006
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME127488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018053700
—
FL
Enumeration date
11/26/2013
Last updated
07/02/2024
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