Individual
FRITZ RICHARDSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO, OWNER
Contact information
Practice address
2700 NW 62ND ST STE B100, FORT LAUDERDALE, FL 33309-1718
(754) 900-0503
(754) 289-4250
Mailing address
2700 NW 62ND ST STE B100, FORT LAUDERDALE, FL 33309-1718
(754) 900-0503
(754) 289-4250
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14064
FL
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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