Individual
DR. RICARDO REQUENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6827 1ST AVE S STE 100, ST PETERSBURG, FL 33707-1242
(727) 341-0551
(727) 341-0332
Mailing address
10002 PRINCESS PALM AVE STE 332, TAMPA, FL 33619-8327
(813) 571-7184
(813) 654-4695
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
OS6038
FL
Other
Enumeration date
06/20/2006
Last updated
04/23/2019
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