Individual
RICHARD R SIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
618 VINTAGE WAY, BRANDON, FL 33511-6366
(772) 463-8256
(772) 463-7795
Mailing address
618 VINTAGE WAY, BRANDON, FL 33511-6366
(772) 463-8256
(772) 463-7795
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0030858
FL
2085R0202X
Diagnostic Radiology Physician
D6684
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451894-00
—
FL
05
—
165976507
—
TX
Enumeration date
05/16/2006
Last updated
07/16/2008
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