Organization
DANIEL D RICHARDSON OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL D RICHARDSON O.D. P.A. (OWNER)
(352) 793-2512
Entity
Organization
Contact information
Practice address
2405 CR 526E, SUMTERVILLE, FL 33585-5179
(352) 793-2512
Mailing address
2405 CR 526E, SUMTERVILLE, FL 33585-5179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1048
FL
Other
Enumeration date
06/05/2008
Last updated
11/10/2010
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