Individual
RICHARD A NADOLNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1223 GATEWAY DR, SUITE 2E, MELBOURNE, FL 32901
(321) 312-3495
(321) 952-6946
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME22473
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME22473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046564000
—
FL
01
—
060044795
RR MEDICARE
FL
01
—
P01164115
RR MEDICARE
FL
Enumeration date
11/14/2005
Last updated
02/27/2020
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