# E. DAVID RISCH, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134563679
- **Authorized official:** DR. EDWARD DAVID RISCH M.D. (OWNER)
- **Authorized official phone:** (386) 916-1074

## Contact information

- **Practice address:** 6500 CRILL AVE, E DAVID RISCH, PALATKA, FL 32177-9230
- **Practice address phone:** (386) 916-1074
- **Mailing address:** PO BOX 1459, PALATKA, FL 32178-1459
- **Mailing address phone:** (386) 916-1074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME39524 | FL | Yes |

## Other

- **Enumeration date:** 04/27/2013
- **Last updated:** 04/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 066253400 | — | FL |
| 01 | — | 1437152840 | TYPE 1 NPI | — |