MEDICARE: RYAN MICHAEL PLATH BSN, RN, RRNA

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	390200000X	Student in an Organized Health Care Education/Training Program	RN9674910	FL

General Provider Information

NPI Number	:	1992696637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN MICHAEL PLATH BSN, RN, RRNA

Provider Business Mailing Address
First Line	:	850 CORAL RIDGE DR APT 301
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-4158
Country	:	US
Telephone Number	:	281-785-6439
Fax Number	:

Provider Business Practice Location Address
First Line	:	309 N 21ST AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-4537
Country	:	US
Telephone Number	:	305-899-3000
Fax Number	:

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

Provider Enumeration Date	:	07/11/2025
Last Update Date	:	07/11/2025

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