person
Geoffrey Lake Risley, MD
Vascular Surgery Physician in Pensacola, Florida
NPI 1578565735

Geoffrey Lake Risley is a Vascular Surgery Physician based in Pensacola, FL and is specialized in Vascular Surgery. Geoffrey Lake Risley practices in Pensacola, FL and has the professional credentials of MD. The NPI Number for Geoffrey Lake Risley is 1578565735 and holds a License No. ME83348 (Florida).

The current practice location address for Geoffrey Lake Risley is 5149 N 9Th Ave Ste 120, Pensacola, FL and can be reached out via phone at 850-479-1805 and via fax at 850-479-1829. You can also correspond with Geoffrey Lake Risley through the mailing address at PO BOX 11982, PENSACOLA, FL - 32524-1982 (mailing address contact number: 850-479-1805).

Location: 5149 N 9Th Ave Ste 120, Pensacola, FL, 32524-1982
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Provider Profile Details
NPI Number
1578565735
Provider Name
Geoffrey Lake Risley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5149 N 9Th Ave Ste 120, Pensacola, FL, 32524-1982
Phone Number
850-479-1805
Fax Number
850-479-1829
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
263422800 05 FL
P00023613 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
5149 N 9Th Ave Ste 120
City
State
Zip
32504-8734
Phone Number
850-479-1805
Fax Number
850-479-1829
person
Provider Business Mailing Address Details
Address
Po Box 11982
City
State
Zip
32524-1982
Phone Number
850-479-1805
Fax Number
850-479-9182
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
ME83348 (Florida)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.