Provider Demographics
NPI:1649445917
Name:RUETH, NATASHA M (MD)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:M
Last Name:RUETH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2900 CORPORATE WAY
Mailing Address - Street 2:DOOR D
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3925
Mailing Address - Country:US
Mailing Address - Phone:954-276-5603
Mailing Address - Fax:954-985-7074
Practice Address - Street 1:12235 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-4119
Practice Address - Country:US
Practice Address - Phone:954-265-2439
Practice Address - Fax:954-965-6388
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2024-05-02
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Provider Licenses
StateLicense IDTaxonomies
FLME1659122086X0206X
MN50327208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology