Individual
DR. RICHARD KENNETH GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2699 STIRLING RD, SUITE C-201, FORT LAUDERDALE, FL 33312
(877) 939-4246
(877) 939-4248
Mailing address
3389 SHERIDAN ST, #439, HOLLYWOOD, FL 33021-3606
(954) 962-5888
(954) 961-2433
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
ME46641
FL
Other
Enumeration date
06/22/2007
Last updated
11/08/2011
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