Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PO4074 | FL |
N | 222Z00000X | Podiatrist | PO4074 | FL |
N | 213EP0504X | Public Medicine | PO4074 | FL |
N | 213EP1101X | Primary Podiatric Medicine | PO4074 | FL |
N | 111NR0200X | Radiology | PO4074 | FL |
N | 213ER0200X | Radiology | PO4074 | FL |
N | 2081S0010X | Sports Medicine | PO4074 | FL |
N | 213ES0000X | Sports Medicine | PO4074 | FL |
Y | 213ES0103X | Foot & Ankle Surgery | PO4074 | FL |
N | 213ES0131X | Foot Surgery | PO4074 | FL |
NPI | 1447731591 |
---|---|
Provider Name | Dr. Ryan Medina Oakley |
First Address | Miami, FL 33165-4943 |
Second Address | Miami Lakes, FL 33016-5867 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2018 |
Last Update Date | 24/10/2021 |