Provider Demographics
NPI:1457144867
Name:RUTH, ELIZABETH K
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:K
Last Name:RUTH
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 1:3941 TAMIAMI TRL UNIT 3157
Mailing Address - Street 2:PMB 2010
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-7925
Mailing Address - Country:US
Mailing Address - Phone:941-216-5994
Mailing Address - Fax:
Practice Address - Street 1:3941 TAMIAMI TRL UNIT 3157
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-7925
Practice Address - Country:US
Practice Address - Phone:941-216-5994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator