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Individual

DAVID RIASCOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
927 N SPRING GARDEN AVE, DELAND, FL 32720-2560
(386) 337-3413
Mailing address
2460 OLD MOULTRIE RD STE 1, ST AUGUSTINE, FL 32086-4198

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
023431
PR
208D00000X
General Practice Physician
Primary
ACN1554
FL

Other

Enumeration date
07/31/2023
Last updated
10/30/2025
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