Individual
DR. HAL BLAKE RIDGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1760 N CONGRESS AVE, SUITE 200, BOYNTON BEACH, FL 33426-8214
(561) 733-0077
(561) 733-0022
Mailing address
1760 N CONGRESS AVE, SUITE 200, BOYNTON BEACH, FL 33426-8214
(561) 733-0077
(561) 733-0022
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0054995
FL
Other
Enumeration date
07/19/2005
Last updated
02/09/2011
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