Individual
ALEXANDER MANUEL RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 S 23RD ST FL 34950, FORT PIERCE, FL 34950-4803
(772) 468-4554
Mailing address
1700 S 23RD ST FL 34950, FORT PIERCE, FL 34950-4803
(772) 468-4554
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
02/16/2024
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