Geoffrey Lake Risley in Pensacola - Vascular Surgery
Geoffrey Lake Risley - NPI 1578565735
Geoffrey Lake Risley is a Vascular Surgery in Pensacola, Florida. Geoffrey Lake Risley practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Geoffrey Lake Risley is 1578565735. The last update date is 2019-05-22.
Geoffrey Lake Risley's current location address is Po Box 11982, Pensacola, Florida. You can contact this provider via phone number 8504791805 and fax number 8504799182. The mailing address for Geoffrey Lake Risley is Po Box 11982, Pensacola, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Geoffrey Lake Risley |
|---|---|
| Address | Po Box 11982, Pensacola, Florida |
| Phone Number | 8504791805 |
| Fax Number | 8504799182 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1578565735 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2019-05-22 |
Provider Mailing Address Detail
| Address | Po Box 11982 |
|---|---|
| City | Pensacola |
| State | Florida (FL) |
| Post Code | 3252419820 |
| Phone Number | 8504791805 |
| Fax Number | 8504799182 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | ME83348 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 263422800 | FL | -- | |
| P00023613 | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Geoffrey Lake Risley by the Centers for Medicare & Medicaid Services?
The Geoffrey Lake Risley has been issued the NPI (National Provider Identifier) 1578565735 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Geoffrey Lake Risley is physically located?
The Geoffrey Lake Risley is physically situated at the following address: Po Box 11982, Pensacola, FL, 3252419820.
What is Geoffrey Lake Risley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Geoffrey Lake Risley is Vascular Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578565735 to Geoffrey Lake Risley?
The Centers for Medicare & Medicaid Services originally issued the 1578565735 to Geoffrey Lake Risley on 2005-06-01.
As of what date were the Geoffrey Lake Risley's details last updated?
The information pertaining to the Geoffrey Lake Risley, including its address, specialty, and other details, was most recently updated on 2019-05-22.