Radice, Michael
Radice, Michael is an sole proprietor health care provider with primary practice located at 18520 N Dale Mabry Hwy , Lutz FL 33548-7900. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Radice, Michael can be contacted via phone (813) 968-9411.Contact Information
Primary practice address
18520 N Dale Mabry Hwy
Lutz FL 33548-7900
Phone: (813) 968-9411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH 8619 | Florida |
Profile Details
| NPI number | 1861527236 |
|---|---|
| LBN Legal business name | Radice, Michael |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jun 22nd, 2021 - about 3 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 | 1861527236 | NPPES |
| Florida | MEDICAID | 381716400 | |
| Florida | Other | 89228 |
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