Pontello, Ruby

Pontello, Ruby is an individual health care provider with primary practice located at 3426 N Roosevelt Blvd , Key West FL 33040-4224. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pontello, Ruby can be contacted via phone (305) 292-5809.

Contact Information

Primary practice address
3426 N Roosevelt Blvd Key West FL 33040-4224
Phone: (305) 292-5809
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9184570 Florida

Profile Details

NPI number 1538162185
LBN Legal business name Pontello, Ruby
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Oct 10th, 2011 - 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 1538162185 NPPES
Florida MEDICAID 304495500

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