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
Fax: (904) 391-5545
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104023308 NPPES
Florida MEDICAID 018248700

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