MEDICARE: RUTH Y WEBSTER

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	376J00000X	Homemaker	236357	FL

General Provider Information

NPI Number	:	1649929548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH Y WEBSTER

Provider Business Mailing Address
First Line	:	1533 SILVER FOX CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-3064
Country	:	US
Telephone Number	:	239-537-1742
Fax Number	:

Provider Business Practice Location Address
First Line	:	1533 SILVER FOX CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-3064
Country	:	US
Telephone Number	:	239-537-1742
Fax Number	:

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

Provider Enumeration Date	:	03/20/2022
Last Update Date	:	03/20/2022

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Directions to “ RUTH Y WEBSTER ” Practice Location

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