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Organization

VALERIE RYAN MD PA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VALERIE ANN RYAN MD (OWNER)
(772) 240-4799
Entity
Organization

Contact information

Practice address
1871 SE TIFFANY AVE, STE 210, PORT ST LUCIE, FL 34952-7585
(772) 398-3609
Mailing address
PO BOX 3514, FORT PIERCE, FL 34948-3514

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME83668
FL

Other

Enumeration date
12/20/2011
Last updated
01/13/2012
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