# DR. RICHARD LONGWILL VANBUSKIRK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1184698128
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | OS0005899F | FL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | OS0005899 | FL | Yes |
| 207Q00000X | Family Medicine Physician | OS0005899 | FL | — |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 09/11/2012