Adam O Ruiz, | |
9415 Sunset Dr Ste 111, Miami, FL 33173-5492 | |
(786) 507-8278 | |
Not Available |
Full Name | Adam O Ruiz |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 9415 Sunset Dr Ste 111, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578273876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT39690 (Florida) | Primary |
Provider Name | Optimal Performance And Physical Therapies Kendall Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1922350289 PECOS PAC ID: 4981842192 Enrollment ID: O20130530000094 |
Mailing Address | Practice Location Address |
---|---|
Adam O Ruiz, 21756 State Road 54 Ste 102, Lutz, FL 33549-2905 Ph: (727) 475-5540 | Adam O Ruiz, 9415 Sunset Dr Ste 111, Miami, FL 33173-5492 Ph: (786) 507-8278 |
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