Ricalde, Pat

Ricalde, Pat is an sole proprietor health care provider with primary practice located at 4200 N Armenia Ave Ste 3 , Tampa FL 33607-6451. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Ricalde, Pat can be contacted via phone (813) 870-6000.

Contact Information

Primary practice address
4200 N Armenia Ave Ste 3 Tampa FL 33607-6451
Phone: (813) 870-6000
Fax: (813) 870-6015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X DN16594 Florida
Other Service Providers / Specialist 174400000X ME88289 Florida

Profile Details

NPI number 1487769287
LBN Legal business name Ricalde, Pat
Credentials DDS MD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Jun 14th, 2022 - about 2 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 1487769287 NPPES
Florida MEDICAID 075756001

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