Individual
MR. BLAS MARCOS RUELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., ATC
Contact information
Practice address
2800 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3321
(904) 322-1004
Mailing address
9745 TOUCHTON RD, UNIT 3105, JACKSONVILLE, FL 32246-4487
(904) 322-1004
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 2146
FL
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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