Individual
DR. RICHARD RHENDYLL ABITRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(904) 571-1363
Mailing address
10176 SILVERBROOK TRL, JACKSONVILLE, FL 32256-5860
(904) 571-1363
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
ME151301
FL
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
ME151301
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2014
Last updated
03/27/2025
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