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Ruby Itzen, DR
Clinic/Center in Ruskin, Florida
NPI 1639527815

Ruby Itzen is a Clinic/Center based in Ruskin, FL. Ruby Itzen practices in Ruskin, FL and has the professional credentials of DR. The NPI Number for Ruby Itzen is 1639527815 and holds a License No. MH7536 (Florida).

The current practice location address for Ruby Itzen is 7031 Feather Wood Dr, Ruskin, FL and can be reached out via phone at 239-410-0065.

Location: 7031 Feather Wood Dr, Ruskin, FL, 33573-0105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639527815
Provider Name
Ruby Itzen
Credential
DR
Provider Entity Type
Individual
Gender
Female
Address
7031 Feather Wood Dr, Ruskin, FL, 33573-0105
Phone Number
239-410-0065
Fax Number
Provider Enumeration Date
05/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
76624088 00 05 FL
institution
Provider Business Practice Location Address Details
Address
7031 Feather Wood Dr
City
Ruskin
State
Florida
Zip
33573-0105
Phone Number
239-410-0065
Fax Number
person
Provider Business Mailing Address Details
Address
7031 Feather Wood Dr
City
Ruskin
State
Florida
Zip
33573-0105
Phone Number
239-410-0065
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
MH7536 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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