MEDICARE: MICHAEL C RUIZ-THOMPSON

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1629651591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL C RUIZ-THOMPSON

Provider Business Mailing Address
First Line	:	7903 ROXBURY CT
Second Line	:
City	:	LANDOVER
State	:	MD
Zip	:	20785-4205
Country	:	US
Telephone Number	:	262-490-0786
Fax Number	:	775-392-1245

Provider Business Practice Location Address
First Line	:	4647 CLYDE MORRIS BLVD UNIT 501
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-3001
Country	:	US
Telephone Number	:	386-767-3752
Fax Number	:

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

Provider Enumeration Date	:	04/29/2021
Last Update Date	:	12/09/2025

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1720222730 — MS. CHRISTINA LEE TUCKER MS, BCBA
Practice Location Address:

4647 CLYDE MORRIS BLVD UNIT 501
PORT ORANGE, FL
32129-3001

Practice Phone: 386-767-3752
Practice Fax: 386-767-4319

1659695583 — DANIELLE NICOLE MENNETO D.C.
Practice Location Address:

4647 CLYDE MORRIS BLVD UNIT 502
PORT ORANGE, FL
32129-3001

Practice Phone: 386-202-2714
Practice Fax: 352-589-5549

1639548787 — MRS. JULIETTA SOPHIE BERNER
Practice Location Address:

4647 CLYDE MORRIS BLVD UNIT 501
PORT ORANGE, FL
32129-3001

Practice Phone: 386-767-3752
Practice Fax:

1932656600 — ERIN K KUPPS M.S.
Practice Location Address:

4647 CLYDE MORRIS BLVD UNIT 501
PORT ORANGE, FL
32129-3001

Practice Phone: 386-767-3752
Practice Fax: 386-767-4319

1679013981 — MEGAN RAGOSTA
Practice Location Address:

4647 CLYDE MORRIS BLVD UNIT 501
PORT ORANGE, FL
32129-3001

Practice Phone: 386-290-6073
Practice Fax:

Directions to “ MICHAEL C RUIZ-THOMPSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.