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Individual

TIMOTHY EMANUEL RICHARDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
1010 EXECUTIVE CENTER DRIVE, SUITE 100, ORLANDO, FL 32803
(321) 281-3840
Mailing address
1010 EXECUTIVE CENTER DRIVE, SUITE 100, ORLANDO, FL 32803
(321) 281-3840

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
09/10/2012
Last updated
09/10/2012
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