Individual
DR. RICHARD RAYMOND CARADONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11373 CORTEZ BLVD, SUITE 200, BROOKSVILLE, FL 34613
(352) 597-4998
(352) 596-6051
Mailing address
14690 SPRING HILL DR, STE 101 ATTN:CREDENTIALING, SPRING HILL, FL 34609-8102
(352) 799-0046
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME49404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064662800
—
FL
01
—
09441
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/28/2006
Last updated
07/11/2018
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