Provider Demographics
NPI:1639613995
Name:MEKIC-RUIZ, GABRIJELA (ARNP)
Entity type:Individual
Prefix:
First Name:GABRIJELA
Middle Name:
Last Name:MEKIC-RUIZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 NE 12TH AVE
Mailing Address - Street 2:APT 101
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4505
Mailing Address - Country:US
Mailing Address - Phone:954-449-5965
Mailing Address - Fax:
Practice Address - Street 1:5010 HOLLYWOO BOULEVARD STE 100B
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5801
Practice Address - Country:US
Practice Address - Phone:954-967-0028
Practice Address - Fax:954-967-8141
Is Sole Proprietor?:No
Enumeration Date:2016-12-06
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9310191363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily