Individual
DAVID RUGGIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1107 W MARION AVE, 116, PUNTA GORDA, FL 33950-5372
(941) 629-4500
(941) 639-7576
Mailing address
1107 W MARION AVE, 116, PUNTA GORDA, FL 33950-5372
(941) 629-4500
(941) 639-7576
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME-0055973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060013311
RAILROAD MEDICARE
—
05
—
063839100
—
FL
01
—
10307
BLUE SHIELD
FL
01
—
2101034
GHI
—
01
—
280546
WELLCARE
—
01
—
4602371
AETNA
—
01
—
5313726001
CIGNA
—
01
—
592171328-001
CHAMPUS/TRICARE
—
Enumeration date
08/02/2006
Last updated
05/12/2015
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