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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN D RIDGELY, PA

Active

BRIAN D RIDGELY, PA is a Physician Assistant healthcare provider located in PORT ST LUCIE, Florida. NPI 1326062977 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PORT ST LUCIE, FL

Registration Details

NPI Number
1326062977
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2006 (20.041724792799 yrs)
Last Updated
Jun 15, 2010
License
PA3524 (FL)

Practice Information

Address
1651 SE TIFFANY AVE
PORT ST LUCIE, FL, 349527564
Browse FL providers · Browse ZIP 34952
Phone
7723981800
Fax
7723981815
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PORT ST LUCIE, FL

Name Credential NPI
MICHAEL EGO FLOSI PA-C 1831191428
PATRICK E RONAN PAC 1275520603
ROSEMARIE CONNOR PA-C 1336115708
ROGER ALLAN WEBER PA 1699713420
MR. GAVIN KEITH WILSON PA 1982643243
MEGAN BOCK 1578671491
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.