Individual
MR. RADCLIFFE LLOYD NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2814 S US HIGHWAY 1 STE D4, FORT PIERCE, FL 34982-8110
(772) 489-4726
Mailing address
5219 NW EDGARTON TER, PORT SAINT LUCIE, FL 34983-1439
(772) 879-2703
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65-0789152
—
FL
Enumeration date
07/12/2018
Last updated
07/12/2018
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