Individual
JORDE RUIZ TARTABULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7171 CORAL WAY, SUITE 400, MIAMI, FL 33155
(786) 970-5524
Mailing address
3211 W FLAGLER ST, APT PH, MIAMI, FL 33135
(786) 970-5524
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA 48986
FL
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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