Healthcare Provider Details

I. General information

NPI: 1043209190
Provider Name (Legal Business Name): RUBY J ALLMAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5521 POLK ST
HOLLYWOOD FL
33021-6431
US

IV. Provider business mailing address

5521 POLK ST
HOLLYWOOD FL
33021-6431
US

V. Phone/Fax

Practice location:
  • Phone: 954-961-7334
  • Fax:
Mailing address:
  • Phone: 954-961-7334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number3290322
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: