Provider Demographics
NPI:1669406997
Name:PAIANO, RUTH A (ARNP)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:A
Last Name:PAIANO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W GORE ST
Mailing Address - Street 2:SUITE 406
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-1044
Mailing Address - Country:US
Mailing Address - Phone:407-210-1320
Mailing Address - Fax:321-202-2582
Practice Address - Street 1:100 W GORE ST
Practice Address - Street 2:SUITE 406
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1044
Practice Address - Country:US
Practice Address - Phone:407-210-1320
Practice Address - Fax:321-202-2582
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3159412363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU8059ZMedicare PIN