Organization
EDUARDO RAGOLTA JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO RAGOLTA JR. MD (PRESIDENT)
(305) 262-0003
Entity
Organization
Contact information
Practice address
7500 SW 8TH ST STE 204, MIAMI, FL 33144-4400
(305) 262-0003
(305) 262-5353
Mailing address
7500 SW 8TH ST STE 204, MIAMI, FL 33144-4400
(305) 262-0003
(305) 262-5353
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0053249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064609100
—
FL
Enumeration date
09/28/2010
Last updated
09/28/2010
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