Risley, Geoffrey Lake
Risley, Geoffrey Lake is an individual health care provider with primary practice located at 5149 N 9Th Ave Ste 120 , Pensacola FL 32504-8734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Risley, Geoffrey Lake can be contacted via phone (850) 479-1805.Contact Information
Primary practice address
5149 N 9Th Ave Ste 120
Pensacola FL 32504-8734
Phone: (850) 479-1805
Fax: (850) 479-1829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ME83348 | Florida |
Profile Details
| NPI number | 1578565735 |
|---|---|
| LBN Legal business name | Risley, Geoffrey Lake |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | May 22nd, 2019 - about 6 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 | 1578565735 | NPPES |
| Florida | MEDICAID | 263422800 | |
| Florida | Other | P00023613 |
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