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Individual

DR. RICKEY J VIATOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME45069
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
061248100
FL
01
09135
BCBS
FL
01
101554
AVMED
FL
01
P00379114
RAILROAD MEDICARE
FL
Enumeration date
06/27/2006
Last updated
03/17/2010
Update your record

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