MEDICARE: NAOMI RUZA LM, CPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	176B00000X	Midwife	MW446	FL

General Provider Information

NPI Number	:	1154015469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI RUZA LM, CPM

Provider Business Mailing Address
First Line	:	1142 99TH ST APT 4
Second Line	:
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-1761
Country	:	US
Telephone Number	:	954-871-8334
Fax Number	:

Provider Business Practice Location Address
First Line	:	1142 99TH ST APT 4
Second Line	:
City	:	BAY HARBOR ISLANDS
State	:	FL
Zip	:	33154-1761
Country	:	US
Telephone Number	:	954-871-8334
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2023
Last Update Date	:	06/08/2023

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