Dr. Michael David Riley
Facial Plastic Surgeon
13644 Walsingham Rd
Largo
, Florida 33774-3532
Dr. Michael David Riley
Facial Plastic Surgeon
13644 Walsingham Rd
Largo
, Florida 33774-3532
(727) 596-3441
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael David Riley
- 13644 Walsingham Rd
- Largo, FL
- Zip : 33774-3532
- Fax : (727) 596-3441
- Phone : (727) 596-3441
Second Address
- Dr. Michael David Riley
- 13644 Walsingham Rd
- Largo, FL
- Zip : 33774-3532
- Fax : (727) 596-3441
- Phone : (727) 596-3441
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | OS2943 | FL |
National Provider Identifier
| NPI | 1912909797 |
|---|---|
| Provider Name | Dr. Michael David Riley |
| First Address | Largo, FL 33774-3532 |
| Second Address | Largo, FL 33774-3532 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E32070 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.