Individual
DR. MICHELE L RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4632 S 25TH ST, FORT PIERCE, FL 34981-5057
(772) 464-9595
(772) 464-9582
Mailing address
4632 S 25TH ST, FORT PIERCE, FL 34981-5057
(772) 464-9595
(772) 464-9582
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME77222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272556800
—
FL
Enumeration date
08/29/2006
Last updated
08/06/2010
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