| NPI | 1902467624 |
|---|---|
| Doing Business As | MARK D. RUIZ, PH.D |
| Entity Type | Organization |
| Authorized Contact | MARK D. RUIZ Owner 850-478-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |