Individual
STEVE RICHARDS
Active
Individual
STEVE RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
6969014
—
374U00000X
Home Health Aide
Primary
63957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63957
DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
04/29/2019
Last updated
07/21/2021
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