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NPI Code Detail

MEDICARE: JOSE ORLANDO RUIZ P.T.

MEDICARE:   JOSE ORLANDO RUIZ  P.T.
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
1225100000XPhysical TherapistPT6203FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT6203OTHERFLLICENSE

General Provider Information

NPI Number : 1801850797
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE ORLANDO RUIZ P.T.
Provider Business Mailing Address
First Line : 6652 NW 42ND AVE
Second Line :
City : COCONUT CREEK
State : FL
Zip : 33073-2020
Country : US
Telephone Number : 954-421-3587
Fax Number :
Provider Business Practice Location Address
First Line : 1212 E BROWARD BLVD
Second Line : SUITE 300
City : FT LAUDERDALE
State : FL
Zip : 33301-2123
Country : US
Telephone Number : 954-462-1526
Fax Number : 954-761-9625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 07/08/2007

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Directions to “ JOSE ORLANDO RUIZ P.T.” Practice Location

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