Radocha, Richard F

Radocha, Richard F is an sole proprietor health care provider with primary practice located at 635 1St St N , Winter Haven FL 33881-4129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Radocha, Richard F can be contacted via phone (863) 294-0670.

Contact Information

Primary practice address
635 1St St N Winter Haven FL 33881-4129
Phone: (863) 294-0670
Fax: (863) 298-3200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME37540 Florida

Profile Details

NPI number 1992774855
LBN Legal business name Radocha, Richard F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated May 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992774855 NPPES
Florida MEDICAID 045972100
Florida Other 110017782

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