MEDICARE: PERLA RUIZ MORFORD

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	APRN11040593	FL

General Provider Information

NPI Number	:	1689562290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERLA RUIZ MORFORD

Provider Business Mailing Address
First Line	:	8019 ARCADIAN CT
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-9123
Country	:	US
Telephone Number	:	630-715-3047
Fax Number	:

Provider Business Practice Location Address
First Line	:	8019 ARCADIAN CT
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-9123
Country	:	US
Telephone Number	:	630-715-3047
Fax Number	:

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

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	07/01/2025

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