person
Manuel Gervasio Ruiz Dicks JR.
Family Nurse Practitioner in Jacksonville, Florida
NPI 1184130916

Manuel Gervasio Ruiz Dicks JR. is a Family Nurse Practitioner based in Jacksonville, FL and is specialized in Family. Manuel Gervasio Ruiz Dicks JR. practices in Jacksonville, FL. The NPI Number for Manuel Gervasio Ruiz Dicks JR. is 1184130916 and holds a License No. 3226112 (Florida).

The current practice location address for Manuel Gervasio Ruiz Dicks JR. is 6428 Beach Blvd, Jacksonville, FL and can be reached out via phone at 904-475-2039 and via fax at 904-330-0668.

Location: 6428 Beach Blvd, Jacksonville, FL, 32216-2813
person
Provider Profile Details
NPI Number
1184130916
Provider Name
Manuel Gervasio Ruiz Dicks JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
6428 Beach Blvd, Jacksonville, FL, 32216-2813
Phone Number
904-475-2039
Fax Number
904-330-0668
Provider Enumeration Date
12/15/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6428 Beach Blvd
City
State
Zip
32216-2813
Phone Number
904-475-2039
Fax Number
904-330-0668
person
Provider Business Mailing Address Details
Address
6428 Beach Blvd
City
State
Zip
32216-2813
Phone Number
904-475-2039
Fax Number
904-330-0668
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3226112 (Florida)
Definition
Definition to come...
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