RALPH DAVID PRIDDY

ST AUGUSTINE, FL
NPI1497021059
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9106486)
Enumeration Date2012-03-28
Last Update Date2012-03-28
Business Address
Mr. RALPH DAVID PRIDDY PA-C
2305 STATE ROAD 207
ST AUGUSTINE, FL 32086-9329
Phone number: 904-827-8610
Mailing Address
Mr. RALPH DAVID PRIDDY PA-C
3612 CITARA CT
ST AUGUSTINE, FL 32092-4779
Phone number: 904-814-6703