Radick, Jason L

Radick, Jason L is an individual health care provider with primary practice located at 4300 Alton Rd, Green Bldg Ste 810, Miami Beach FL 33140-2800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Radick, Jason L can be contacted via phone (305) 674-5925.

Contact Information

Primary practice address
4300 Alton Rd, Green Bldg Ste 810 Miami Beach FL 33140-2800
Phone: (305) 674-5925
Fax: (305) 674-5927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME82103 Florida

Profile Details

NPI number 1336145440
LBN Legal business name Radick, Jason L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Aug 9th, 2010 - about 14 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 1336145440 NPPES
Florida MEDICAID 265949200

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