Individual
RILEY SIUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(913) 210-9812
Mailing address
11458 S NORTHWOOD CIR, OLATHE, KS 66061-6500
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA944
FL
367H00000X
Anesthesiologist Assistant
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122931000
—
FL
Enumeration date
05/08/2024
Last updated
08/09/2024
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