Individual
RICARDO URDANETA PEREDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4972 TOWN CENTER PKWY STE 301, JACKSONVILLE, FL 32246
(904) 642-6100
(904) 642-5154
Mailing address
900 S PINE ISLAND RD, SUITE 800, PLANTATION, FL 33324-3920
(904) 642-6100
(904) 642-5154
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME107169
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002242600
—
FL
Enumeration date
05/14/2010
Last updated
10/27/2021
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