PAT RICALDE DDS MD

Surgery Yellow Pages

Tampa, Florida

Provider NPI: 1487769287

Provider Information:
 PAT  RICALDE DDS MD


Practice Location:
304 S MACDILL AVE  TAMPA, FL 33609 US
Tel: 813-870-6000  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	174400000X	Other Service Providers Specialist	FL	ME88289
N	204E00000X	Physicians Oral & Maxillofacial Surgery	FL	DN16594

Other Provider Identifiers:

Issuer	Number	State	Type
	075756001	FL	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin