Individual
RICHARD MACK HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1150 N 35TH AVE, SUITE 200, HOLLYWOOD, FL 33021
(954) 265-0000
(954) 893-6347
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME48516
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371795000
—
FL
Enumeration date
04/20/2006
Last updated
03/19/2021
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