Provider Demographics
NPI:1154015469
Name:RUZA, NAOMI (LM, CPM)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:RUZA
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1142 99TH ST APT 4
Mailing Address - Street 2:
Mailing Address - City:BAY HARBOR ISLANDS
Mailing Address - State:FL
Mailing Address - Zip Code:33154-1761
Mailing Address - Country:US
Mailing Address - Phone:954-871-8334
Mailing Address - Fax:
Practice Address - Street 1:1142 99TH ST APT 4
Practice Address - Street 2:
Practice Address - City:BAY HARBOR ISLANDS
Practice Address - State:FL
Practice Address - Zip Code:33154-1761
Practice Address - Country:US
Practice Address - Phone:954-871-8334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW446176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife