Individual
CHARLES A RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
311 9TH ST N STE 310, NAPLES, FL 34102-5889
(239) 624-8250
(239) 624-8251
Mailing address
311 9TH ST N STE 310, NAPLES, FL 34102-5889
(239) 624-8250
(239) 624-8251
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME131211
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME131211
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022056000
—
FL
05
—
132051
—
AZ
01
—
IOWCJ
BCBS
FL
01
—
JC606Z
MEDICARE
FL
Enumeration date
07/19/2006
Last updated
11/07/2018
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