Bedoya-Garcia, Ricardo

Bedoya-Garcia, Ricardo is an individual health care provider with primary practice located at 183 Nw Gwen Lake Ave , Lake City FL 32055-3711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bedoya-Garcia, Ricardo can be contacted via phone (386) 752-9144.

Contact Information

Primary practice address
183 Nw Gwen Lake Ave Lake City FL 32055-3711
Phone: (386) 752-9144
Fax: (386) 752-5881
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E0400 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME17760 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 056974 Georgia

Profile Details

NPI number 1497728356
LBN Legal business name Bedoya-Garcia, Ricardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Jun 17th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497728356 NPPES
Florida MEDICAID 064732200
Florida MEDICAID 180121901

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