Tanya Ruiz, Llc | |
5902 Ida Ave N Lehigh Acres FL 33971-1411 | |
(239) 240-1808 | |
Not Available |
Full Name | Tanya Ruiz, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 5902 Ida Ave N, Lehigh Acres, Florida |
Authorized Official Name and Position | Tania Rodrigues-ruiz (SUPERVISOR) |
Authorized Official Contact | 2392401808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tanya Ruiz, Llc 4006 17th St Sw Lehigh Acres FL 33976-3230 Ph: (239) 240-1808 | Tanya Ruiz, Llc 5902 Ida Ave N Lehigh Acres FL 33971-1411 Ph: (239) 240-1808 |
NPI Number | 1790455715 |
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Provider Enumeration Date | 09/20/2021 |
Last Update Date | 09/22/2021 |
Certification Date | 09/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790455715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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