Individual
MR. JOSEPH A RICHARDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4889 NW 95TH AVE, SUNRISE, FL 33351-5117
(954) 448-3579
Mailing address
4889 NW 95TH AVE, SUNRISE, FL 33351-5117
(954) 448-3579
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103986
FL
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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