| Odel Ruano M D P A | |
|
3067 Tamiami Trl Unit 3 Port Charlotte FL 33952-6601 | |
| (941) 258-3606 | |
| (941) 258-3370 |
| Full Name | Odel Ruano M D P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 3067 Tamiami Trl, Port Charlotte, Florida |
| Authorized Official Name and Position | Odel Ruano (PRESIDENT) |
| Authorized Official Contact | 9412583606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odel Ruano M D P A Po Box 380639 Murdock FL 33938-0639 Ph: (941) 258-3606 | Odel Ruano M D P A 3067 Tamiami Trl Unit 3 Port Charlotte FL 33952-6601 Ph: (941) 258-3606 |
| NPI Number | 1346433562 |
|---|---|
| Provider Enumeration Date | 08/21/2007 |
| Last Update Date | 04/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346433562 | NPI | - | NPPES |
| 64255 | Other | BCBS FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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