Individual
DR. JOHN J RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 JENKS AVE, PANAMA CITY, FL 32401-2437
(850) 215-3000
(850) 215-3150
Mailing address
1008 JENKS AVE, PANAMA CITY, FL 32401-2437
(850) 215-3000
(850) 215-3150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME60114
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042653000
—
FL
01
—
051555890
MEDICARE PROVIDER #
AL
01
—
102I023970
MEDICARE GROUP/ PROVIDER PTAN
AL
05
—
114684
—
AL
01
—
12421
BLUE CROSS
FL
05
—
608500
—
FL
01
—
678471
WELLCARE
FL
01
—
C70352
UPIN
AL
Enumeration date
11/14/2005
Last updated
03/11/2016
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