Individual
THOMAS DALEY RILEY IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7000 SW 62ND AVE STE 330, SOUTH MIAMI, FL 33143-4717
(786) 238-7402
(215) 330-0408
Mailing address
650 NE 32ND ST UNIT 3003, MIAMI, FL 33137-5260
(786) 845-6645
(215) 330-0408
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME124360
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME124360
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1178622500
—
FL
Enumeration date
06/09/2010
Last updated
05/12/2023
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