Clemons Rugulo, Andrea

Clemons Rugulo, Andrea is an individual health care provider with primary practice located at 1600 Sw Archer Rd Box 100371, Gainesville FL 32610-3003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Clemons Rugulo, Andrea can be contacted via phone (352) 392-4195.

Contact Information

Primary practice address
1600 Sw Archer Rd Box 100371 Gainesville FL 32610-3003
Phone: (352) 392-4195
Fax: (352) 392-9802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X ARNP2631822 Florida

Profile Details

NPI number 1588695332
LBN Legal business name Clemons Rugulo, Andrea
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Nov 19th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588695332 NPPES
Florida MEDICAID 305806900

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