Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | OS12136 | FL |
N | 208600000X | Surgeon | OS12136 | FL |
Y | 2086S0129X | Vascular Surgeon | OS12136 | FL |
NPI | 1114075801 |
---|---|
Provider Name | Ryan V Messiner |
First Address | Gainesville, FL 32610-0371 |
Second Address | Gainesville, FL 32610-0371 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 08/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010347300 | (05) | FL |