Individual
RICHA VIJAYVARGIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3411
(352) 265-4357
(352) 627-4150
Mailing address
PO BOX 100183, GAINESVILLE, FL 32610-0183
(352) 265-4357
(352) 627-4150
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
ME154885
FL
2084P0800X
Psychiatry Physician
Primary
ME154885
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2017
Last updated
04/09/2022
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