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Individual
DR. RICK ALLEN DAMRON
Active
Individual
DR. RICK ALLEN DAMRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME42103
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000307381B
—
GA
05
—
067813900
—
FL
01
—
37450
INDIVIDUAL BCBS ID
FL
01
—
99039
GROUP BCBS NUMBER
FL
01
—
AJ564
MEDICARE GIN
FL
01
—
P00625819
MEDICARE RAIL ROAD
FL
Enumeration date
05/23/2005
Last updated
08/20/2016
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