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NPI Code Detail

MEDICARE: LES D RUSKIN DC PA

MEDICARE: LES D RUSKIN DC PA
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
1111N00000XChiropractorCH0005390FL

General Provider Information

NPI Number : 1467404442
Entity Type Code : Organization
Provider Name (Legal Business Name) : LES D RUSKIN DC PA
Provider Business Mailing Address
First Line : 3488 E LAKE RD STE 102B
Second Line :
City : PALM HARBOR
State : FL
Zip : 34685-2404
Country : US
Telephone Number : 727-785-2545
Fax Number : 727-781-0617
Provider Business Practice Location Address
First Line : 3488 E LAKE RD STE 102B
Second Line :
City : PALM HARBOR
State : FL
Zip : 34685-2404
Country : US
Telephone Number : 727-785-2545
Fax Number : 727-781-0617
Authorized Official
Title or Position : PRESIDENT DIRECTOR
Name : DR. LES D RUSKIN
Credential : DC
Telephone Number : 727-785-2545
Provider Enumeration Date : 05/17/2006
Last Update Date : 01/24/2018

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Directions to “LES D RUSKIN DC PA ” Practice Location

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