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Organization
SOUTH MAIN PAIN, INC.
Active
Organization
SOUTH MAIN PAIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J RIDKY DC (PRESIDENT)
(561) 432-6021
Entity
Organization
Contact information
Practice address
607 SOUTH MAIN STREET, SUITE 102, BELLE GLADE, FL 33430
(561) 996-1900
Mailing address
7024 CHARLESTON SHORES BLVD, LAKE WORTH, FL 33467
(561) 432-6021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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