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Organization
JO RIDLEY LLC
Active
Organization
JO RIDLEY LLC
Active
Other names
AllerCare
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH RIDLEY (CEO)
(352) 593-1563
Entity
Organization
Contact information
Practice address
16372 HIBISCUS RD, BROOKSVILLE, FL 34601-4352
(352) 593-1565
Mailing address
723 BENTON AVE, BROOKSVILLE, FL 34601-3213
(352) 593-1565
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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