Miyamoto, Ryan Keith
Miyamoto, Ryan Keith is an individual health care provider with primary practice located at 1717 N E St 430, Pensacola FL 32501-6339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Miyamoto, Ryan Keith can be contacted via phone (850) 437-8711.Contact Information
Primary practice address
1717 N E St 430
Pensacola FL 32501-6339
Phone: (850) 437-8711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 4301097056 | Michigan |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME126100 | Florida |
Profile Details
| NPI number | 1245415454 |
|---|---|
| LBN Legal business name | Miyamoto, Ryan Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2008 |
| Last updated | Feb 16th, 2017 - about 9 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 | 1245415454 | NPPES |
| Florida | MEDICAID | 016158700 |
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