NPI 1104160241
Mark Louis Ruffalo, MSWACSWLCSW
Practice location
- Address
- 10335 Cross Creek Blvd Suite 15, Tampa, FL 33647-2795
- Phone
- (727) 266-0270
Registered specialties (3)
Psychoanalyst
Primary
Clinical Social Worker
Clinical Social Worker
Registry record
- NPI
- 1104160241
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Nov 2012
- Record last updated
- 20 Sep 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.