LAKESHA RUISE


Address: 638 Islamorada Dr N, Macclenny, FL 32063-8828
Phone: 9124399715

LAKESHA RUISE (NPI# 1699210625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699210625
Entity Type Individual
Full Name LAKESHA RUISE
Credential RRT-NPS,CPFT
Practice Address 638 Islamorada Dr N
Macclenny
FL 32063-8828
Practice Telephone 9124399715
Mailing Telephone 9124399715
Enumeration Date 2016-12-29
Last Update Date 2016-12-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NR1301X General Acute Care Hospital
Specialization: Rural
RT10661 FL Hospitals

Office Location

Street Address 638 ISLAMORADA DR N
City MACCLENNY
State FL
Zip Code 32063-8828

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1174734073 Jane Ellen Echterling Psychologist Northeast Florida State Hospital, 7487 S. State Road 121, Macclenny, FL 32063 2007-05-24
1992879886 Baker County Schools Local Education Agency (LEA) 290 Jonathan St E, Macclenny, FL 32063 2006-11-20
1306918271 Baker County School Board Local Education Agency (LEA) 290 Jonathan Street East, Macclenny, FL 32063 2006-11-15
1780760967 Patricia Ann Sova Pharmacist 1436 Sw 6th St, Winn Dixie #0144, Macclenny, FL 32063 2006-10-31
1447347992 Annie Clara Widemond Pharmacy Technician 1436 State Road 121 South, Macclenny, FL 32063 2006-10-06
1003900713 Luna S. Iskander Psychiatry & Neurology 7487 South State Road 121, Macclenny, FL 32063 2006-10-03
1558456103 Cam Hoang Family Medicine 7487 South State Road 171, Macclenny, FL 32063 2006-10-03
1245323492 Raynors Pharmacy Inc Durable Medical Equipment & Medical Supplies 698 F W Macclenny Ave, Ste F, Macclenny, FL 32063 2006-10-02
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Taxonomy Information

Taxonomy Code 282NR1301X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Rural

Taxonomy Definition

Definition to come...

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1972985489 Christine Truschka Larsen General Acute Care Hospital 1835 Sw 34th Ct, Ocala, FL 34474-2836 2015-06-19
1215353933 Broward Health General Acute Care Hospital 1608 Se 3rd Avenue, Fort Lauderdale, FL 33316 2014-03-06
1174825624 Tuba City Regional Health Care Center General Acute Care Hospital 1660 Foothill Ter, Deltona, FL 32725-6038 2010-12-03
1467534917 H C Healthcare Inc General Acute Care Hospital 506 Nw 4th Street, Jasper, FL 32052-6603 2006-10-20
1801885413 District Hospital Holdings Inc General Acute Care Hospital 39200 Hooker Hwy, Belle Glade, FL 33430 2005-10-17
1710984299 Healthmark of Walton Inc General Acute Care Hospital 4413 Us Highway 331 S, Defuniak Springs, FL 32435-6307 2005-06-30
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Competitor

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City MACCLENNY
Zip Code 32063

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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