Ruiz, Camilo A
Ruiz, Camilo A is an sole proprietor health care provider with primary practice located at 1319 Se 2Nd Ave , Fort Lauderdale FL 33316-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as his primary health care specialty. Ruiz, Camilo A can be contacted via phone (954) 839-6987.Contact Information
Primary practice address
1319 Se 2Nd Ave
Fort Lauderdale FL 33316-1809
Phone: (954) 839-6987
Fax: (954) 839-6923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | OS10517 | Florida |
Profile Details
| NPI number | 1063664696 |
|---|---|
| LBN Legal business name | Ruiz, Camilo A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2008 |
| Last updated | Dec 9th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063664696 | NPPES |
| Florida | Other | DB058W | PTAN |
| Florida | MEDICAID | 002898600 | PTAN |
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