Provider Demographics
NPI:1538105028
Name:LA RUFFA, AUGUST JOHN III (DC)
Entity Type:Individual
Prefix:DR
First Name:AUGUST
Middle Name:JOHN
Last Name:LA RUFFA
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:654 W INDIANTOWN RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7546
Mailing Address - Country:US
Mailing Address - Phone:561-745-1002
Mailing Address - Fax:561-745-7880
Practice Address - Street 1:654 W INDIANTOWN RD
Practice Address - Street 2:SUITE 107
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7546
Practice Address - Country:US
Practice Address - Phone:561-745-1002
Practice Address - Fax:561-745-7880
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6529111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU35703Medicare UPIN
FL22790Medicare PIN