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Organization
HENRY J RICHTER MD PA
Active
Organization
HENRY J RICHTER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY JAMES RICHTER MD (PRESIDENT)
(352) 735-0068
Entity
Organization
Contact information
Practice address
1502 N DONNELLY ST, SUITE 110, MT DORA, FL 32757-2846
(352) 735-0068
(352) 735-0305
Mailing address
PO BOX 1448, EUSTIS, FL 32727-1448
(352) 735-0068
(352) 735-0305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME37512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066885100
—
FL
01
—
59906
BCBS
FL
Enumeration date
08/21/2006
Last updated
04/16/2009
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