Individual
NELLY RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.H.S.A
Contact information
Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(904) 202-3860
(904) 376-4107
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME134049
FL
208M00000X
Hospitalist Physician
Primary
ME134049
FL
Other
Enumeration date
06/17/2010
Last updated
07/15/2024
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