Organization
RON RYAN MD PA
Active
Other names
Ronald Christopher Ryan
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CHRISTOPHER RYAN M.D. (PRESIDENT)
(321) 383-1332
Entity
Organization
Contact information
Practice address
1917 KNOX MCRAE DR, TITUSVILLE, FL 32780-5360
(321) 383-1332
(321) 383-1243
Mailing address
1917 KNOX MCRAE DR, TITUSVILLE, FL 32780-5360
(321) 383-1332
(321) 383-1243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC4171
FL
207W00000X
Ophthalmology Physician
Primary
ME0062417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18692A
2ND OFFICE LOCATION
FL
Enumeration date
01/28/2009
Last updated
04/16/2009
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