Individual
DR. ISMAEL RUIZ-DE LA ROSA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 WEBB DR STE 475, DAVENPORT, FL 33837-3964
(863) 419-1235
(863) 419-9525
Mailing address
6675 WESTWOOD BLVD, STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN922
FL
Other
Enumeration date
08/29/2009
Last updated
05/23/2023
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