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Dr. Ismael Ruiz-de La Rosa I, MD
General Practice Physician in Davenport, Florida
NPI 1912130527

Ismael Ruiz-de La Rosa I is a General Practice Physician based in Orlando, FL. Ismael Ruiz-de La Rosa I practices in Davenport, FL and has the professional credentials of MD. The NPI Number for Ismael Ruiz-de La Rosa I is 1912130527 and holds a License No. ACN922 (Florida).

The current practice location address for Ismael Ruiz-de La Rosa I is 181 Webb Dr Ste 475, Davenport, FL and can be reached out via phone at 863-419-1235 and via fax at 863-419-9525.

Location: 181 Webb Dr Ste 475, Davenport, FL, 32821-6027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912130527
Provider Name
Ismael Ruiz-de La Rosa I
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
181 Webb Dr Ste 475, Davenport, FL, 32821-6027
Phone Number
863-419-1235
Fax Number
863-419-9525
Provider Enumeration Date
08/29/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
181 Webb Dr Ste 475
City
Davenport
State
Florida
Zip
33837-3964
Phone Number
863-419-1235
Fax Number
863-419-9525
person
Provider Business Mailing Address Details
Address
181 Webb Dr Ste 475
City
Davenport
State
Florida
Zip
33837-3964
Phone Number
863-419-1235
Fax Number
863-419-9525
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ACN922 (Florida)
Definition
Definition to come...
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