MEDICARE: DR. HAZEL LEE RUFF-JAMES FNP-BC

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	0024166077	VA
2	363LF0000X	Family Nurse Practitioner	0017138086	VA
3	363LF0000X	Family Nurse Practitioner	11030869	FL

General Provider Information

NPI Number	:	1639319114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAZEL LEE RUFF-JAMES FNP-BC

Provider Business Mailing Address
First Line	:	996 BUCCANEER BLVD
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33880-1965
Country	:	US
Telephone Number	:	863-353-6853
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 DR MARTIN L KING JR WAY
Second Line	:
City	:	HAINES CITY
State	:	FL
Zip	:	33844-3490
Country	:	US
Telephone Number	:	863-353-6853
Fax Number	:

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

Provider Enumeration Date	:	02/24/2009
Last Update Date	:	02/13/2026

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