Individual
ANDREW J RUFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3617 CROWN POINT RD, STE 6, JACKSONVILLE, FL 32257-9010
(904) 613-1450
Mailing address
PO BOX 17809, JACKSONVILLE, FL 32245-7809
(904) 723-0015
(904) 338-0951
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY0003395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620002997
RAILROAD MEDICARE
FL
01
—
73349
BCBS
FL
Enumeration date
12/06/2005
Last updated
09/16/2016
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