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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK LOUIS RUFFALO JR., MSW, ACSW, LCSW

Active Sole Proprietor

MR. MARK LOUIS RUFFALO JR., MSW, ACSW, LCSW is a Psychoanalyst healthcare provider located in TAMPA, Florida. NPI 1104160241 is currently active in the NPPES registry. Verify at CMS.

Psychoanalyst · TAMPA, FL

Registration Details

NPI Number
1104160241
Provider Type
Individual
Gender
Male
NPI Issued
Nov 15, 2012 (13.724957774994 yrs)
Last Updated
Sep 20, 2016
Licenses
C009504 (NC)
SW12857 (FL)
Sole Proprietor
Yes

Practice Information

Address
10335 CROSS CREEK BLVD
SUITE 15
TAMPA, FL, 336472795
Browse FL providers · Browse ZIP 33647
Phone
7272660270
Primary Specialty
Psychoanalyst
102L00000X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.