Joseph Samuel Ruis II ATC, LAT

NPI 1306010939 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1306010939
Gender Male
Enumeration Date 04/15/2008
Last Updated 04/15/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
106 E MACCLENNY AVE
SUITE A
MACCLENNY FL, 32063-2120, US
Phone (904) 316-9050
Fax
Business Location
PO BOX 86
MACCLENNY FL, 32063-0086, US
Phone (904) 316-9050
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Florida
License Number AL 1600
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According to our database, Mr. Joseph Samuel Ruis II ATC, LAT NPI is 1306010939, taxonomy code is 2255A2300X and license number is AL 1600, license state is located at Florida. Joseph Samuel Ruis II ATC, LAT physically located at 106 E Macclenny Ave, Macclenny FL, 32063-2120. NPI Number Joseph Samuel Ruis II ATC, LAT has the Individual type.

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1306010939 NPI number is provided on an as is basis without warranty of any kind. 1306010939 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Samuel Ruis II ATC, LAT are for informational purposes only.