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General NPI Number Information
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NPI Number | 1093278814
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Entity Type | Individual
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Provider Name | MARIA CELESTE RUIZ HOLGADO MD
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Gender | Female
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 601 5TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4804
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Country | US
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Telephone | 727-767-4160
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Fax | 727-767-8270
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Provider Business Mailing Address
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Address Line | 601 5TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33701-2201
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Country | US
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Telephone | 727-767-4160
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Fax | 727-767-8270
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME175484
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License Number State | FL
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