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NPI Code Detail

MEDICARE: KRISTEN RUIZ

MEDICARE:   KRISTEN  RUIZ
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
1363L00000XNurse Practitioner11046493FL

General Provider Information

NPI Number : 1255273801
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN RUIZ
Provider Business Mailing Address
First Line : 2501 N ORANGE AVE STE 689
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4648
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2501 N ORANGE AVE STE 689
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4648
Country : US
Telephone Number : 407-303-2024
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ KRISTEN RUIZ ” Practice Location

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