Individual
CARL DANIEL RIGGS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701-1547
(727) 456-4250
(727) 346-1044
Mailing address
1033 DR MARTIN LUTHER KING JR ST N, SUITE 108, ST PETERSBURG, FL 33701-1547
(727) 456-4250
(727) 346-1044
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME49128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046889400
—
FL
01
—
04816W
MEDICARE PTAN
FL
Enumeration date
06/13/2006
Last updated
02/03/2010
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