Provider Demographics
NPI:1689681785
Name:MAJAUSKAS, RIKANTAS PETRAS (DO)
Entity Type:Individual
Prefix:DR
First Name:RIKANTAS
Middle Name:PETRAS
Last Name:MAJAUSKAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:RIK
Other - Middle Name:P
Other - Last Name:MAJAUSKAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:13000 W NEWBERRY ROAD
Mailing Address - Street 2:CC-162
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669
Mailing Address - Country:US
Mailing Address - Phone:352-240-6615
Mailing Address - Fax:
Practice Address - Street 1:13000 W NEWBERRY ROAD
Practice Address - Street 2:CC-162
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669
Practice Address - Country:US
Practice Address - Phone:352-240-6615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC946207Q00000X
FLOS10827207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCRHC013Medicaid
FLFI848YOtherMEDICARE PTAN
FL004006900Medicaid
FLFI848ZMedicare PIN
SC423820Medicare ID - Type UnspecifiedRURAL HEALTH MEDICARE #