Organization
JAVIER RICARDO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER RICARDO MD (PRESIDENT)
(305) 302-7257
Entity
Organization
Contact information
Practice address
7000 W 12TH AVE STE 12, HIALEAH, FL 33014-5154
(305) 267-6774
(305) 267-8482
Mailing address
7000 W 12TH AVE STE 12, HIALEAH, FL 33014-5154
(305) 267-6774
(305) 267-8482
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME92030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273137100
—
FL
Enumeration date
07/27/2006
Last updated
04/23/2024
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