MEDICARE: CHRISTINE MICHELLE RICE D.O.

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	207R00000X	Internal Medicine Physician	OS 10949	FL

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	:	1326366956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE MICHELLE RICE D.O.

Provider Business Mailing Address
First Line	:	806 S DOUGLAS RD
Second Line	:	SUITE #820
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-3157
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	806 S DOUGLAS RD
Second Line	:	SUITE #820
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-3157
Country	:	US
Telephone Number	:	305-447-4150
Fax Number	:

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

Provider Enumeration Date	:	05/06/2010
Last Update Date	:	08/07/2013

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