Smith, Ripp A

Smith, Ripp A is an individual health care provider with primary practice located at 400 Health Park Blvd Attn: St. Johns Radiology Associates, St Augustine FL 32086-5784. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Smith, Ripp A can be contacted via phone (904) 819-4398.

Contact Information

Primary practice address
400 Health Park Blvd Attn: St. Johns Radiology Associates St Augustine FL 32086-5784
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME70749 Florida

Profile Details

NPI number 1013997956
LBN Legal business name Smith, Ripp A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated May 18th, 2012 - about 12 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 1013997956 NPPES
Florida MEDICAID 379908500

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