Individual
DR. TACE STEELE RICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 E PRINCETON ST, SUITE 416, ORLANDO, FL 32803-1456
(407) 303-1687
(407) 303-1729
Mailing address
615 E PRINCETON ST, SUITE 416, ORLANDO, FL 32803-1456
(407) 303-1687
(407) 303-1729
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME109998
FL
207NP0225X
Pediatric Dermatology Physician
Primary
ME109998
FL
207NS0135X
Procedural Dermatology Physician
ME109998
FL
Other
Enumeration date
06/30/2008
Last updated
10/26/2015
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