Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 34010816 | OH |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | OS15175 | FL |
NPI | 1609050202 |
---|---|
Provider Name | Dr. Daniel Kenneth Ruggles |
First Address | Miami, FL 33155-3009 |
Second Address | Miami, FL 33155-3009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2007 |
Last Update Date | 10/12/2021 |