Individual
RYAN D HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-3997
(239) 624-8101
Mailing address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-3997
(239) 624-8101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018-01790
NC
207R00000X
Internal Medicine Physician
209624
NC
208M00000X
Hospitalist Physician
2018-01790
NC
208M00000X
Hospitalist Physician
Primary
ME140347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102802900
—
FL
01
—
BZ7R3
BCBS
FL
Enumeration date
03/30/2015
Last updated
08/13/2019
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