| Ralph P Page Md Inc | |
|
1026 Florida Ave S Rockledge FL 32955-2132 | |
| (321) 631-1400 | |
| (321) 632-0866 |
| Full Name | Ralph P Page Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1026 Florida Ave S, Rockledge, Florida |
| Authorized Official Name and Position | Ralph P Page (OWNER) |
| Authorized Official Contact | 3216311400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph P Page Md Inc 1026 Florida Ave S Rockledge FL 32955-2132 Ph: (321) 631-1400 | Ralph P Page Md Inc 1026 Florida Ave S Rockledge FL 32955-2132 Ph: (321) 631-1400 |
| NPI Number | 1396046892 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 11/02/2016 |
| Medicare PECOS PAC ID | 5092901264 |
|---|---|
| Medicare Enrollment ID | O20101130000778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396046892 | NPI | - | NPPES |
| 036157700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0041617 (Florida) | Primary |
| Provider Name | Ralph P Page |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770569527 PECOS PAC ID: 9335335504 Enrollment ID: I20101130000817 |
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