Individual
DONATO R RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3635 S CLYDE MORRIS BLVD, SUITE 100, PORT ORANGE, FL 32129-2300
(386) 788-1242
(386) 756-8802
Mailing address
4800 BELFORT ROAD, JACKSONVILLE, FL 32256
(904) 398-3262
(904) 265-4807
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 53429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270351300
—
FL
Enumeration date
08/01/2005
Last updated
05/25/2011
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