Provider Demographics
NPI:1104256783
Name:RUFO, PATRICIA (RRT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:RUFO
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 CERTOSA AVE NE
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-3227
Mailing Address - Country:US
Mailing Address - Phone:321-288-7779
Mailing Address - Fax:
Practice Address - Street 1:1698 W HIBISCUS BLVD STE A
Practice Address - Street 2:FLORIDA THERAPY GROUP
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-2639
Practice Address - Country:US
Practice Address - Phone:321-768-6119
Practice Address - Fax:321-768-1710
Is Sole Proprietor?:No
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTT4660227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered