Priddy, Ralph David

Priddy, Ralph David is an sole proprietor health care provider with primary practice located at 2305 State Road 207 , St Augustine FL 32086-9329. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Priddy, Ralph David can be contacted via phone (904) 827-8610.

Contact Information

Primary practice address
2305 State Road 207 St Augustine FL 32086-9329
Phone: (904) 827-8610
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106486 Florida

Profile Details

NPI number 1497021059
LBN Legal business name Priddy, Ralph David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2012
Last updated Mar 28th, 2012 - about 14 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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