| Jorge Ruiz Llanes Md Pa | |
|
700 Se 5th Ter Suite 2 Crystal River FL 34429-4878 | |
| (352) 794-3882 | |
| (352) 794-3883 |
| Full Name | Jorge Ruiz Llanes Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 Se 5th Ter, Crystal River, Florida |
| Authorized Official Name and Position | Jorge Ruiz Llanes (PRESIDENT) |
| Authorized Official Contact | 3527943882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jorge Ruiz Llanes Md Pa Po Box 1240 Lecanto FL 34460-1240 Ph: (352) 794-3882 | Jorge Ruiz Llanes Md Pa 700 Se 5th Ter Suite 2 Crystal River FL 34429-4878 Ph: (352) 794-3882 |
| NPI Number | 1477711844 |
|---|---|
| Provider Enumeration Date | 06/01/2008 |
| Last Update Date | 01/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477711844 | NPI | - | NPPES |
| 276138600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME94400 (Florida) | Primary |
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