Miyamoto, Ryan Keith

Miyamoto, Ryan Keith is an individual health care provider with primary practice located at 1717 N E St 430, Pensacola FL 32501-6339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Miyamoto, Ryan Keith can be contacted via phone (850) 437-8711.

Contact Information

Primary practice address
1717 N E St 430 Pensacola FL 32501-6339
Phone: (850) 437-8711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301097056 Michigan
Allopathic & Osteopathic Physicians / Urology 208800000X ME126100 Florida

Profile Details

NPI number 1245415454
LBN Legal business name Miyamoto, Ryan Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Feb 16th, 2017 - about 7 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 1245415454 NPPES
Florida MEDICAID 016158700

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