Healthcare Provider Details

I. General information

NPI: 1275333924
Provider Name (Legal Business Name): ZENDI M RUGGLES IMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 HEALTH CARE DR STE B
NEW PORT RICHEY FL
34655-5377
US

IV. Provider business mailing address

4215 HANOVER DR
NEW PORT RICHEY FL
34653-6035
US

V. Phone/Fax

Practice location:
  • Phone: 727-358-9911
  • Fax: 727-499-2612
Mailing address:
  • Phone: 727-358-9911
  • Fax: 727-499-2612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH27286
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: