Individual
DR. RICHARD PERRY TIBBILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1872 TAMIAMI TRL S STE B, VENICE, FL 34293-3129
(941) 244-2922
(941) 244-2923
Mailing address
1872 TAMIAMI TRL S STE B, VENICE, FL 34293-3129
(941) 244-2922
(941) 244-2923
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
AY 1481
FL
237600000X
Audiologist-Hearing Aid Fitter
Primary
1477
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200000130C
—
KS
01
—
J0004
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/02/2007
Last updated
07/14/2009
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