Ruby S Phan
Medical Specialty
Professional ID
- NPI: 1538186374
- PECOS ID: 4880660224
- Enrollment ID: I20040907001021
- Credential(MD, DO, DPM): CNA
- Medical School:
- Medical School Graduation Year: 2004
Hospital Service
- Hospital CCN1: 100017
- Business Name (LBN)1: Halifax Health Medical Center
- Hospital CCN2: 100110
- Business Name (LBN)2: Osceola Regional Medical Center
Medical Practices
- Organization Name: Sheridan Healthcorp Inc
- Group Practice ID assigned by PECOS: 3173429693
- Number of Group Practice member: 799
Location
- Address1: 1340 Medical Park Dr
- Address2: Suite 101
- City: Melbourne
- State: Florida
- Zip Code: 32901
- Phone Number: (321)729-9493
Medical Practices
- Organization Name: Anesthesia Physician Solutions Of North Florida Llc
- Group Practice ID assigned by PECOS: 5597066001
- Number of Group Practice member: 40
Location
- Address1: 700 W Oak St
- Address2:
- City: Kissimmee
- State: Florida
- Zip Code: 34741
- Phone Number: (407)846-2266
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):