Blas Marcos Ruelas, M.S., ATC
Specialist/Technologist, Athletic Trainer in Jacksonville, FL. Individual provider (NPI-1).
NPI number1821284530
StatusActive
Last updated in NPPESSep 18, 2007
Details
- NPI
- 1821284530
- Entity type
- Individual (NPI-1)
- Name
- Mr. Blas Marcos Ruelas
- Credential
- M.S., ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2007
- Last updated
- Sep 18, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL 2146 | FL | Yes |
Practice location
2800 University Blvd NJacksonville, FL 32211-3321
Phone 904-322-1004
Mailing address
9745 Touchton RdUnit 3105
Jacksonville, FL 32246-4487
Phone 904-322-1004
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