Individual
CHARLES E. RIGGS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7822
(352) 273-5006
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 273-7822
(352) 273-5006
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
ME0084258
FL
207RX0202X
Medical Oncology Physician
Primary
ME84258
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259477300
—
FL
01
—
271651
AVMED
FL
01
—
35864
BLUE CROSS BLUE SHIELD
FL
01
—
5397458
AETNA
FL
01
—
7260907001
CIGNA
FL
01
—
ME0084258
MEDICAL LICENSE
FL
Enumeration date
05/18/2007
Last updated
01/05/2012
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