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NPI Code Detail

MEDICARE: GIANETTE RUVALCABA ARNP

MEDICARE: GIANETTE RUVALCABA ARNP
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
1363LF0000XFamily Nurse PractitionerARNP9328207FL

General Provider Information

NPI Number : 1265987481
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIANETTE RUVALCABA ARNP
Provider Business Mailing Address
First Line : 1700 79TH STREET CSWY STE 120
Second Line :
City : NORTH BAY VILLAGE
State : FL
Zip : 33141-4197
Country : US
Telephone Number : 305-726-2177
Fax Number : 305-726-2209
Provider Business Practice Location Address
First Line : 1700 79TH STREET CSWY STE 120
Second Line :
City : NORTH BAY VILLAGE
State : FL
Zip : 33141-4197
Country : US
Telephone Number : 833-240-9966
Fax Number : 305-709-1320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2016
Last Update Date : 10/15/2025

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Directions to “ GIANETTE RUVALCABA ARNP” Practice Location

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