Provider Demographics
NPI:1922302496
Name:VERESS, RUBY J (LMT)
Entity Type:Individual
Prefix:
First Name:RUBY
Middle Name:J
Last Name:VERESS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9142 W HIGHLAND PINES DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-5755
Mailing Address - Country:US
Mailing Address - Phone:561-801-6676
Mailing Address - Fax:561-370-6099
Practice Address - Street 1:9142 W HIGHLAND PINES DR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-5755
Practice Address - Country:US
Practice Address - Phone:561-801-6676
Practice Address - Fax:561-370-6099
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-27
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA33038174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist