MEDICARE: RONIN SERVICES LLC

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	163WG0600X	Gerontology Registered Nurse

General Provider Information

NPI Number	:	1346196524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONIN SERVICES LLC

Provider Business Mailing Address
First Line	:	12670 WHITBY ST
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6246
Country	:	US
Telephone Number	:	754-779-6451
Fax Number	:

Provider Business Practice Location Address
First Line	:	12670 WHITBY ST
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6246
Country	:	US
Telephone Number	:	754-779-6451
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JASON EKER
Credential	:	APRN
Telephone Number	:	754-779-6451

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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