Individual
DR. ANTONIA RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/PHD
Contact information
Practice address
115 E VAN FLEET DR # 313, BARTOW, FL 33830-3829
(954) 990-0041
Mailing address
115 E VAN FLEET DR # 313, BARTOW, FL 33830-3829
(954) 990-0041
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
1744R1102X
Research Study Specialist
—
—
246QL0900X
Laboratory Management Specialist/Technologist
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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