Individual
DR. RICHARD J DE ASLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1285 CREEKSIDE BLVD EAST, SUITE 102, NAPLES, FL 34109
(239) 624-0310
(239) 624-0311
Mailing address
1285 CREEKSIDE BLVD E, SUITE 102, NAPLES, FL 34109-0590
(239) 624-0310
(239) 624-0311
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME124827
FL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
ME124827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015525100
—
FL
01
—
151P9
BCBS
FL
01
—
469901
TUFTS HEALTH PLAN
MA
01
—
J28081
BCBS MA
MA
Enumeration date
02/28/2006
Last updated
04/10/2017
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