Healthcare Provider Details

I. General information

NPI: 1275868317
Provider Name (Legal Business Name): RUTH TURCO CFM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2009
Last Update Date: 04/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2119 S US HIGHWAY 1
JUPITER FL
33477-7322
US

IV. Provider business mailing address

2119 S US HIGHWAY 1
JUPITER FL
33477-7322
US

V. Phone/Fax

Practice location:
  • Phone: 561-741-7257
  • Fax: 561-741-7106
Mailing address:
  • Phone: 561-741-7257
  • Fax: 561-741-7106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number1275868317
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: