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Organization
L DAVID RICHARDS JR OPTOMETRIC PHYSICIAN
Active
Organization
L DAVID RICHARDS JR OPTOMETRIC PHYSICIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA DAVIS (OFFICE MANAGER)
(561) 742-1944
Entity
Organization
Contact information
Practice address
2300 S CONGRESS AVE STE 102, BOYNTON BEACH, FL 33426-7400
(561) 742-1944
Mailing address
2300 S CONGRESS AVE STE 102, BOYNTON BEACH, FL 33426-7400
(561) 742-1944
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084843300
—
FL
01
—
K7231
MEDICARE GROUP
FL
Enumeration date
04/24/2008
Last updated
08/12/2013
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