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1841287547

NPI Code Detail

MEDICARE: DR. BARRY F RIGGS MD

MEDICARE: DR. BARRY F RIGGS 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
1	2085R0204X	Vascular & Interventional Radiology Physician	ME74820	FL
2	2085R0202X	Diagnostic Radiology Physician	ME74820	FL
3	2085B0100X	Body Imaging Physician	ME74820	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841287547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY F RIGGS MD

Provider Business Mailing Address
First Line	:	424 RACETRACK RD NW
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-1556
Country	:	US
Telephone Number	:	850-314-7575
Fax Number	:	850-314-7494

Provider Business Practice Location Address
First Line	:	7800 US HIGHWAY 98 W
Second Line	:
City	:	MIRAMAR BEACH
State	:	FL
Zip	:	32550-7228
Country	:	US
Telephone Number	:	850-278-3555
Fax Number	:	850-278-3562

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	05/21/2014

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Directions to “ DR. BARRY F RIGGS MD” Practice Location

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