Healthcare Provider Details

I. General information

NPI: 1306816921
Provider Name (Legal Business Name): RICHARD FAUST SATRIALE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 05/21/2021
Certification Date: 05/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13940 N US HIGHWAY 441 STE 102
LADY LAKE FL
32159-8909
US

IV. Provider business mailing address

13940 N US HIGHWAY 441 STE 102
LADY LAKE FL
32159-8909
US

V. Phone/Fax

Practice location:
  • Phone: 352-751-9900
  • Fax: 844-388-6186
Mailing address:
  • Phone: 352-751-9900
  • Fax: 844-388-6186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD 036097E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME148969
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: