Healthcare Provider Details

I. General information

NPI: 1992407175
Provider Name (Legal Business Name): LAURA RUIZ VIAMONTE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 PINEHURST DR
SPRING HILL FL
34606-4553
US

IV. Provider business mailing address

6811 STATE ROAD 54
NEW PORT RICHEY FL
34653-6018
US

V. Phone/Fax

Practice location:
  • Phone: 352-353-2037
  • Fax: 352-225-7267
Mailing address:
  • Phone: 727-815-1550
  • Fax: 727-815-0667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME179352
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: