| Ubu Strategy, Llc | |
|
1576 Airport Blvd Pensacola FL 32504-8616 | |
| (850) 478-3888 | |
| (850) 478-0914 |
| Full Name | Ubu Strategy, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1576 Airport Blvd, Pensacola, Florida |
| Authorized Official Name and Position | Mark D. Ruiz (OWNER) |
| Authorized Official Contact | 8504783888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ubu Strategy, Llc 1576 Airport Blvd Pensacola FL 32504-8616 Ph: (850) 478-3888 | Ubu Strategy, Llc 1576 Airport Blvd Pensacola FL 32504-8616 Ph: (850) 478-3888 |
| NPI Number | 1902467624 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 06/24/2019 |
| Medicare PECOS PAC ID | 8527395748 |
|---|---|
| Medicare Enrollment ID | O20190812001558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902467624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mark David Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669418554 PECOS PAC ID: 0941228654 Enrollment ID: I20210409001383 |
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