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NPI Code Detail

MEDICARE: DR. RYAN MEDINA OAKLEY DPM

MEDICARE:  DR. RYAN MEDINA OAKLEY  DPM
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
1213ES0000XSports Medicine PodiatristPO4074FL
2213ER0200XRadiology PodiatristPO4074FL
3213ES0103XFoot & Ankle Surgery PodiatristPO4074FL
4213E00000XPodiatristPO4074FL
5213EP0504XPublic Medicine PodiatristPO4074FL
6213ES0131XFoot Surgery PodiatristPO4074FL
7213EP1101XPrimary Podiatric Medicine PodiatristPO4074FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447731591
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN MEDINA OAKLEY DPM
Provider Business Mailing Address
First Line : 4131 SW 102ND CT
Second Line :
City : MIAMI
State : FL
Zip : 33165-4943
Country : US
Telephone Number : 305-942-3633
Fax Number :
Provider Business Practice Location Address
First Line : 10260 SW 56TH ST STE 101
Second Line :
City : MIAMI
State : FL
Zip : 33165-7021
Country : US
Telephone Number : 305-930-7934
Fax Number : 305-203-4891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2018
Last Update Date : 02/20/2026

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Directions to “ DR. RYAN MEDINA OAKLEY DPM” Practice Location

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