Individual
DR. MARK A RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
12167 W LINEBAUGH AVE, TAMPA, FL 33626-1732
(813) 727-0131
Mailing address
3837 NORTHDALE BLVD, 343, TAMPA, FL 33624-1841
(813) 727-0131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7623
FL
Other
Enumeration date
07/14/2008
Last updated
06/08/2009
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