Rider, Ronald Kip

Rider, Ronald Kip is an individual health care provider with primary practice located at 3702 Washington St Suite 305, Hollywood FL 33021-8282. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rider, Ronald Kip can be contacted via phone (954) 967-6550.

Contact Information

Primary practice address
3702 Washington St Suite 305 Hollywood FL 33021-8282
Phone: (954) 967-6550
Fax: (954) 967-6553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9100646 Florida

Profile Details

NPI number 1578504866
LBN Legal business name Rider, Ronald Kip
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Apr 13th, 2015 - about 9 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 1578504866 NPPES
Florida MEDICAID 290649000

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