Individual
RICHARD WESTENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME103918
FL
207P00000X
Emergency Medicine Physician
TRN10220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014898-00
—
FL
05
—
577975133B
—
GA
Enumeration date
01/16/2007
Last updated
10/20/2022
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