Organization
ATHENA HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN RONALD RUELLE (CEO)
(407) 593-2814
Entity
Organization
Contact information
Practice address
524 13TH ST, SAINT CLOUD, FL 34769-4531
(407) 593-2814
(407) 593-2815
Mailing address
524 13TH ST, SAINT CLOUD, FL 34769-4531
(407) 593-2814
(407) 593-2815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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