MEDICARE: MR. MICHAEL J RADUAZZO SR. BSPH

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
1	183500000X	Pharmacist	0220221	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1225179963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL J RADUAZZO SR. BSPH

Provider Business Mailing Address
First Line	:	196 COW NECK RD
Second Line	:
City	:	PORT WASHINGTON
State	:	NY
Zip	:	11050-1102
Country	:	US
Telephone Number	:	516-883-8869
Fax Number	:

Provider Business Practice Location Address
First Line	:	196 COW NECK RD
Second Line	:
City	:	PORT WASHINGTON
State	:	NY
Zip	:	11050-1102
Country	:	US
Telephone Number	:	516-883-8869
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1578865895 — MS. JANET SANTIAGO LCSW
Practice Location Address:

1102 SW IDOL AVE
PORT SAINT LUCIE, FL
34953-6816

Practice Phone: 772-626-2321
Practice Fax:

1114355278 — THE CORNERSTONES OF PORT ST. LUCIE, INC.
Practice Location Address:

1102 SW IVANHOE ST
PORT SAINT LUCIE, FL
34983-2542

Practice Phone: 772-879-4950
Practice Fax: 772-807-7544

1679941777 — THE PERFECT PLACE ALF 3
Practice Location Address:

1517 SW BELLEVUE AVE
PORT ST LUCIE, FL
34953-1102

Practice Phone: 786-307-6994
Practice Fax:

1962042093 — AMBER KOLLEN DC
Practice Location Address:

2445 COUNTRY PLACE BLVD STE 103
NEW PORT RICHEY, FL
34655-1102

Practice Phone: 727-264-6091
Practice Fax: 727-264-6099

1669098992 — JANET SANTIAGO LCSW
Practice Location Address:

1102 SW IDOL AVE
PORT ST LUCIE, FL
34953-6816

Practice Phone: 772-626-2321
Practice Fax: 772-800-3175

1376155929 — MRS. STEPHANY LECLAIR MSN, APRN, A-GNP-C
Practice Location Address:

2445 COUNTRY PLACE BLVD STE 103
NEW PORT RICHEY, FL
34655-1102

Practice Phone: 727-267-6830
Practice Fax:

Directions to “ MR. MICHAEL J RADUAZZO SR. BSPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.