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NPI Code Detail

MEDICARE: RILEY PATRICK OSTDIEK MD

MEDICARE: RILEY PATRICK OSTDIEK MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1598460669
Entity Type Code : Individual
Provider Name (Legal Business Name) : RILEY PATRICK OSTDIEK MD
Provider Business Mailing Address
First Line : 17 DAVIS BLVD STE 308
Second Line :
City : TAMPA
State : FL
Zip : 33606-3438
Country : US
Telephone Number : 813-974-2201
Fax Number :
Provider Business Practice Location Address
First Line : 17 DAVIS BLVD STE 308
Second Line :
City : TAMPA
State : FL
Zip : 33606-3438
Country : US
Telephone Number : 813-974-2201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2023
Last Update Date : 01/30/2026

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Directions to “ RILEY PATRICK OSTDIEK MD” Practice Location

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