Organization
GARY J RICHMOND,MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY J RICHMOND MD (PRESIDENT)
(954) 524-2250
Entity
Organization
Contact information
Practice address
315 SE 14TH ST, FORT LAUDERDALE, FL 33316-1929
(954) 524-2250
(954) 524-5833
Mailing address
315 SE 14TH ST, FORT LAUDERDALE, FL 33316-1929
(954) 524-2250
(954) 524-5833
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000894200
—
FL
Enumeration date
07/28/2006
Last updated
12/04/2009
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