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Organization
RICHARD E. PROMIN, MD.PA
Active
Organization
RICHARD E. PROMIN, MD.PA
Active
Parent organization
RICHARD E. PROMIN ,M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICHARD E. PROMIN ,M.D.
Authorized official
DR. RICHARD E PROMIN M.D. (PRESIDENT)
(352) 629-0181
Entity
Organization
Contact information
Practice address
3301 SW 34TH CIR STE 301, OCALA, FL 34474-6615
(352) 629-0181
(352) 629-0587
Mailing address
3301 SW 34TH CIR STE 301, OCALA, FL 34474-6615
(352) 629-0181
(352) 629-0587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME10123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047439800
—
FL
Enumeration date
01/19/2010
Last updated
01/19/2010
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