Larry Fredric Radke is a Lake City, Florida based male chiropractor who is specialized as General Chiropractor. Active license number of Larry Fredric Radke as General Chiropractor is CH0002067 in Florida. Larry Fredric Radke is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Larry Fredric Radke speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Male
Practice Address:
430 Sw Columbia Ave, Lake City, Florida, 32025-5254
Phone:
386-752-2252
Fax:
386-754-5088
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1649481052
NPI Enumeration Date:
25 May, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry Fredric Radke are as mentioned below.
License Number
Specialization
State
Status
CH0002067
Chiropractor
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Larry Fredric Radke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
89714
Other
Florida
BLUECROSS BLUESHIELD PROV
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
430 Sw Columbia Ave, Lake City, Florida
Zip:
32025-5254
Phone Number:
386-752-2252
Fax Number:
386-754-5088
Patients can reach Larry Fredric Radke at 430 Sw Columbia Ave, Lake City, Florida or can call to book an appointment on 386-752-2252. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.
Comments/ Reviews:
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