MEDICARE: RUBENS JEAN-BAPTISTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9310398	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9310398	FL

General Provider Information

NPI Number	:	1306217690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUBENS JEAN-BAPTISTE

Provider Business Mailing Address
First Line	:	6422 RIDGEBERRY DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-4130
Country	:	US
Telephone Number	:	954-865-0001
Fax Number	:	407-386-3164

Provider Business Practice Location Address
First Line	:	6422 RIDGEBERRY DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-4130
Country	:	US
Telephone Number	:	954-865-0001
Fax Number	:	407-386-3164

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2015
Last Update Date	:	05/05/2025

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