Individual
DENNIS ALPHONSO RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6603 THURGOOD CIR E, JACKSONVILLE, FL 32219-3883
(904) 861-4977
Mailing address
6603 THURGOOD CIR E, JACKSONVILLE, FL 32219-3883
(904) 861-5095
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L22000064275
FL
343900000X
Non-emergency Medical Transport (VAN)
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Other
Enumeration date
05/21/2022
Last updated
05/21/2022
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