Individual
DR. RICHARD MARTIN NAZARETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6633 SW 64TH CT, NONE, SOUTH MIAMI, FL 33143-3205
(321) 439-3066
(305) 740-9246
Mailing address
6633 SW 64TH CT, NONE, SOUTH MIAMI, FL 33143-3205
(321) 439-3066
(305) 740-9246
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME24108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME24108
NONE
FL
Enumeration date
11/09/2009
Last updated
11/09/2009
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