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NPI Code Detail

MEDICARE: RICARDO ANTONIO HENRIQUES M.D.

MEDICARE: RICARDO ANTONIO HENRIQUES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
105511OTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2ME41259OTHERFLFL LICENSE

General Provider Information

NPI Number : 1043600216
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICARDO ANTONIO HENRIQUES M.D.
Provider Business Mailing Address
First Line : 503 DELANNOY AVE
Second Line :
City : COCOA
State : FL
Zip : 32922-7813
Country : US
Telephone Number : 321-631-6995
Fax Number : 321-633-1004
Provider Business Practice Location Address
First Line : 503 DELANNOY AVE
Second Line :
City : COCOA
State : FL
Zip : 32922-7813
Country : US
Telephone Number : 321-631-6995
Fax Number : 321-633-1004
Authorized Official
Title or Position : PHYSICIAN
Name : DR. RICARDO ANTONIO HENRIQUES
Credential : M.D.
Telephone Number : 321-631-6995
Provider Enumeration Date : 01/27/2015
Last Update Date : 01/27/2015

Similar Medicare Providers

1043323231 — R A HENRIQUES M.D.
Practice Location Address:
503 DELANNOY AVE
COCOA, FL
32922-7813
Practice Phone: 321-631-6995
Practice Fax: 321-633-1004
1437242682 — DR. WILLIAM A PATTERSON D.P.M.
Practice Location Address:
503 DELANNOY AVE
COCOA, FL
32922-7813
Practice Phone: 321-636-5112
Practice Fax: 321-638-2075
1164545620 — SHANE C HERNESMAN MD PA
Practice Location Address:
505 DELANNOY AVE
COCOA, FL
32922-7813
Practice Phone: 321-631-4940
Practice Fax: 321-631-4941
1467716712 — MR. JONATHAN C LEE AP
Practice Location Address:
505 DELANNOY AVE
COCOA, FL
32922-7813
Practice Phone: 321-454-9259
Practice Fax: 321-454-9974
1629078423 — DR. PAUL BRIAN THOMPSON M.D.
Practice Location Address:
93 DELANNOY AVE , UNIT 1202
COCOA, FL
32922
Practice Phone: 321-480-8315
Practice Fax: 321-433-1935
1326032210 — FIVE POINTS PHARMACY
Practice Location Address:
1108 LAKE DR
COCOA, FL
32922-8678
Practice Phone: 321-636-8433
Practice Fax: 407-634-5003

Directions to “RICARDO ANTONIO HENRIQUES M.D. ” Practice Location

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