Individual provider · Type 1 NPI

Manuel Gervasio Ruiz Dicks Jr.

Family Nurse Practitioner · Jacksonville, FL

NPI number 1184130916 Active

Practice location

6428 Beach Blvd
Jacksonville, FL 32216-2813

Call (904) 475-2039 Map

Fax (904) 330-0668

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3226112 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1184130916

Manuel Gervasio Ruiz Dicks Jr.'s National Provider Identifier is 1184130916, issued on Dec 15, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 29, 2023.