Individual
RICHARD F RADOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
635 1ST ST N, WINTER HAVEN, FL 33881-4129
(863) 294-0670
(863) 298-3200
Mailing address
635 1ST ST N, WINTER HAVEN, FL 33881-4129
(863) 294-0670
(863) 298-3200
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME37540
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045972100
—
FL
01
—
110017782
MEDICARE ID/ RRM PIN
FL
Enumeration date
03/14/2006
Last updated
05/20/2008
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