Rusiecki, Ronald Steve

Rusiecki, Ronald Steve is an individual health care provider with primary practice located at 1845 Holsonback Dr , Daytona Beach FL 32117-5114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Rusiecki, Ronald Steve can be contacted via phone (386) 274-0790.

Contact Information

Primary practice address
1845 Holsonback Dr Daytona Beach FL 32117-5114
Phone: (386) 274-0790
Fax: (386) 274-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME99031 Florida

Profile Details

NPI number 1487859955
LBN Legal business name Rusiecki, Ronald Steve
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Jan 16th, 2013 - about 13 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 1487859955 NPPES
Florida MEDICAID 001252100

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