Individual
DOROTHY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 W LAKESHORE DR, CLERMONT, FL 34711-2936
(407) 832-7508
Mailing address
1120 W LAKESHORE DR, CLERMONT, FL 34711-2936
(407) 832-7508
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME83365
FL
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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