Individual
RICHARD A. HARTERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3599 UNIVERSITY BLVD S, SUITE 1105, JACKSONVILLE, FL 32216-4285
(904) 346-0703
(904) 346-3605
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME42728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064864700
—
FL
Enumeration date
03/27/2006
Last updated
11/10/2015
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