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Individual

DR. JOHN J RYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6716 NW 11TH PLACE, STE 200, GAINESVILLE, FL 32605-4215
(352) 331-9729
(352) 331-0137
Mailing address
6716 NW 11TH PLACE, STE 200, GAINESVILLE, FL 32605-4215
(352) 331-9729
(352) 331-0137

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME70057
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME70057
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255393700
FL
01
43566
BCBS FL
FL
01
P00999969
RAILROAD MEDICARE
FL
01
P01008974
RAILROAD MEDICARE
FL
Enumeration date
08/19/2005
Last updated
04/14/2022
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