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Individual

DR. RISA L VINARUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1205 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-5500
(321) 452-5133
(321) 449-8713
Mailing address
1205 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-5500
(321) 452-5133
(321) 449-8713

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2414
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
480027718
MEDICARE RAILROAD
FL
01
65393
BLUE CROSS BLUE SHEILD
FL
Enumeration date
01/30/2006
Last updated
04/30/2008
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