Individual
DR. JOHN P RIOUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PL
Contact information
Practice address
21260 OLEAN BLVD, SUITE 200, PORT CHARLOTTE, FL 33952-6705
(941) 625-4270
(941) 625-1751
Mailing address
21260 OLEAN BLVD, SUITE 200, PORT CHARLOTTE, FL 33952-6705
(941) 625-4270
(941) 625-1751
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME72810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252909200
—
FL
01
—
41412
BLUE CROSS BLUE SHIELD
FL
01
—
7078180
AETNA
FL
Enumeration date
10/04/2006
Last updated
10/21/2013
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