Provider Demographics
NPI:1760904916
Name:RUIZ, STEPHANIE CHRISTINE (AUD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:CHRISTINE
Last Name:RUIZ
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8910 W STATE ROAD 84
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4411
Mailing Address - Country:US
Mailing Address - Phone:954-315-0477
Mailing Address - Fax:954-473-1707
Practice Address - Street 1:8910 W STATE ROAD 84
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-4411
Practice Address - Country:US
Practice Address - Phone:954-315-0477
Practice Address - Fax:954-473-1707
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist