Organization
J D RUGGIERO MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH DAVID RUGGIERO MD (OWNER)
(904) 834-1002
Entity
Organization
Contact information
Practice address
2035 PROFESSIONAL CENTER DR, SUITE A, ORANGE PARK, FL 32073-4492
(904) 272-3200
(904) 272-3211
Mailing address
2035 PROFESSIONAL CENTER DR STE A, ORANGE PARK, FL 32073-4462
(904) 579-4692
(904) 639-6002
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273821000
—
FL
Enumeration date
07/29/2006
Last updated
02/23/2021
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