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NPI Code Detail

MEDICARE: JOSE DAVID RUIZ M.D

MEDICARE: JOSE DAVID RUIZ M.D
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
12084P0800XPsychiatry PhysicianME85967FL

General Provider Information

NPI Number : 1285739060
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE DAVID RUIZ M.D
Provider Business Mailing Address
First Line : 10967 LAKE UNDERHILL RD STE 113
Second Line :
City : ORLANDO
State : FL
Zip : 32825-4434
Country : US
Telephone Number : 833-769-3524
Fax Number :
Provider Business Practice Location Address
First Line : 10967 LAKE UNDERHILL RD STE 113
Second Line :
City : ORLANDO
State : FL
Zip : 32825-4434
Country : US
Telephone Number : 833-769-3524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 12/17/2025

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