Riggeal, Bryan Douglas
Riggeal, Bryan Douglas is an individual health care provider with primary practice located at 841 Prudential Dr Fl 10 , Jacksonville FL 32207-8329. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Riggeal, Bryan Douglas can be contacted via phone (904) 398-5404.Contact Information
Primary practice address
841 Prudential Dr Fl 10
Jacksonville FL 32207-8329
Phone: (904) 398-5404
Fax: (904) 391-5545
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME128272 | Florida |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 66311 | Georgia |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 66311 | Georgia |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME128272 | Florida |
Profile Details
NPI number | 1104023308 |
---|---|
LBN Legal business name | Riggeal, Bryan Douglas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2007 |
Last updated | Oct 25th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104023308 | NPPES |
Florida | MEDICAID | 018248700 |
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