Provider Demographics
NPI:1215285895
Name:RURUT, EMINE O
Entity type:Individual
Prefix:
First Name:EMINE
Middle Name:O
Last Name:RURUT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1756 GULF WINDS CT
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-8155
Mailing Address - Country:US
Mailing Address - Phone:727-459-1671
Mailing Address - Fax:
Practice Address - Street 1:700 E WELCH RD
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-2921
Practice Address - Country:US
Practice Address - Phone:407-880-8700
Practice Address - Fax:407-880-6144
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374T00000XNursing Service Related ProvidersReligious Nonmedical Nursing Personnel
No376G00000XNursing Service Related ProvidersNursing Home Administrator