Individual
MR. RICHARD ALAN WAKELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN, PARAMEDIC
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-7200
Mailing address
10509 CYNDEE LN, ODESSA, FL 33556-4801
(727) 687-6382
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
PMD13459
FL
146N00000X
Basic Emergency Medical Technician
EMT69699
FL
163WE0003X
Emergency Registered Nurse
Primary
RN9248247
FL
Other
Enumeration date
11/02/2012
Last updated
05/22/2016
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