MEDICARE: CATHERINE RUFFINO

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	363AM0700X	Medical Physician Assistant	PA9116215	FL
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1447906334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE RUFFINO

Provider Business Mailing Address
First Line	:	601 7TH ST S STE 565
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33701-4708
Country	:	US
Telephone Number	:	727-456-8968
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 7TH ST S STE 565
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33701-4708
Country	:	US
Telephone Number	:	727-456-8968
Fax Number	:

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

Provider Enumeration Date	:	03/01/2022
Last Update Date	:	08/08/2022

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Directions to “ CATHERINE RUFFINO ” Practice Location

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