Ricardo a Bedoya MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME39435 Issued in FL

Legal business name

RICARDO A BEDOYA MD PA

Practice address

4600 Military TRL
Suite 110
Jupiter, FL 33458-4810

Phone

(561) 630-0303

Fax

(561) 630-6011

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ricardo Bedoya, M.D.

Title

Owner

Phone

(561) 630-0303

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1164532891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL",
            "address_2": "SUITE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584810",
            "telephone_number": "561-630-0303",
            "fax_number": "561-630-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY TRL",
            "address_2": "SUITE 110",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584810",
            "telephone_number": "561-630-0303",
            "fax_number": "561-630-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO A BEDOYA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "BEDOYA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-630-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME39435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.