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:
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Health care specialties

SpecialtyCodeLicense #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 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 1063664696 NPPES
Florida Other DB058W PTAN
Florida MEDICAID 002898600 PTAN

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