NPI Code Details Logo

NPI 1164381596

NPI 1164381596 : ALYSON RUEST PA : PALM BEACH GARDENS, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1164381596
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALYSON RUEST PA
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/21/2026
-----------------------------------------------------
    Last Update Date     |    01/21/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4550 PGA BLVD STE 217 
-----------------------------------------------------
    City                 |    PALM BEACH GARDENS
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33418-3988
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-249-5160
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4822 SAND DOLLAR DR 
-----------------------------------------------------
    City                 |    WESTLAKE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    33470-3286
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    561-827-0946
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2083P0901X
-----------------------------------------------------
    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
-----------------------------------------------------
    License Number       |    PA9102924
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.