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Individual

RHODES M KRIETE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 722-3843
Mailing address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 722-3843

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME63696
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
372955900
FL
01
390005080
RR MEDICARE
FL
Enumeration date
11/02/2005
Last updated
03/12/2010
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