Individual
RICARDO BEDOYA-GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
183 NW GWEN LAKE AVE, LAKE CITY, FL 32055-3711
(386) 752-9144
(386) 752-5881
Mailing address
PO BOX 691, LAKE CITY, FL 32056-0691
(386) 752-9144
(386) 752-5881
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
056974
GA
2085R0202X
Diagnostic Radiology Physician
E0400
TX
2085R0202X
Diagnostic Radiology Physician
Primary
ME17760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064732200
—
FL
05
—
180121901
—
TX
Enumeration date
02/10/2006
Last updated
06/17/2008
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