Ruiz-Gamboa, Rodrigo

Ruiz-Gamboa, Rodrigo is an individual health care provider with primary practice located at 12700 Creekside Ln Ste 301 , Fort Myers FL 33919-3356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Ruiz-Gamboa, Rodrigo can be contacted via phone (239) 343-3780.

Contact Information

Primary practice address
12700 Creekside Ln Ste 301 Fort Myers FL 33919-3356
Phone: (239) 343-3780
Fax: (239) 343-3781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME127488 Florida

Profile Details

NPI number 1801226956
LBN Legal business name Ruiz-Gamboa, Rodrigo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2013
Last updated Jul 2nd, 2024 - about 2 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 1801226956 NPPES
Florida MEDICAID 018053700

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