Ronald Kip Rider in Hollywood - Physician Assistant
Ronald Kip Rider - NPI 1578504866
Ronald Kip Rider is a Physician Assistant in Hollywood, Florida. Ronald Kip Rider practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ronald Kip Rider is 1578504866. The last update date is 2015-04-13.
Ronald Kip Rider's current location address is 3702 Washington St, Hollywood, Florida. You can contact this provider via phone number 9549676550 and fax number 9549676553. The mailing address for Ronald Kip Rider is 3702 Washington St, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Kip Rider |
|---|---|
| Address | 3702 Washington St, Hollywood, Florida |
| Phone Number | 9549676550 |
| Fax Number | 9549676553 |
| Sole Proprietor | N |
| Credentials | P.A.-C |
NPI Number Detail
| NPI Number | 1578504866 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2015-04-13 |
Provider Mailing Address Detail
| Address | 3702 Washington St |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 330218282 |
| Phone Number | 9549676550 |
| Fax Number | 9549676553 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 9100646 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 290649000 | FL | -- |
Post Comment/ Review Below
Can you provide the Ronald Kip Rider's physical address?
The Ronald Kip Rider is physically located at 3702 Washington St, in the city of Hollywood, FL, with the postal code 330218282.
Could you please provide the complete street address where Ronald Kip Rider is physically located?
The Ronald Kip Rider is physically situated at the following address: 3702 Washington St, Hollywood, FL, 330218282.
On what date did the Ronald Kip Rider receive its 1578504866 assignment from the Centers for Medicare & Medicaid Services?
The Ronald Kip Rider was assigned its 1578504866 by the Centers for Medicare & Medicaid Services on 2006-06-09.
As of what date were the Ronald Kip Rider's details last updated?
The information pertaining to the Ronald Kip Rider, including its address, specialty, and other details, was most recently updated on 2015-04-13.
As of what date were the details related to Ronald Kip Rider most recently updated or revised?
The information pertaining to Ronald Kip Rider, including its address, specialty, and other relevant details, was last updated or revised on 2015-04-13.
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