Duque, Ricardo E
Duque, Ricardo E is an individual health care provider with primary practice located at 1125 Us Highway 98 S Suite 101, Lakeland FL 33801-5852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Duque, Ricardo E can be contacted via phone (863) 683-7171.Contact Information
Primary practice address
1125 Us Highway 98 S Suite 101
Lakeland FL 33801-5852
Phone: (863) 683-7171
Fax: (863) 687-0742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | ME0027370 | Florida |
Profile Details
| NPI number | 1720055791 |
|---|---|
| LBN Legal business name | Duque, Ricardo E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Apr 22nd, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720055791 | NPPES |
| Florida | MEDICAID | 36507600 |
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