Individual
DR. RONALD M RHATIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 W 8TH ST, UFJP PATHOLOGY, JACKSONVILLE, FL 32209-6511
(904) 244-5373
(904) 244-4290
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
ME13762
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0013762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000320163C
—
GA
05
—
0656194-00
—
FL
Enumeration date
01/11/2006
Last updated
06/17/2009
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