Individual
DR. RICHARD F FANSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12955 SEMINOLE BLVD, SUITE 210, LARGO, FL 33778-2399
(727) 584-9500
(727) 393-9502
Mailing address
11200 SEMINOLE BLVD, SUITE 210, LARGO, FL 33778-3259
(727) 584-9500
(727) 393-9502
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME67619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378268900
—
FL
Enumeration date
08/19/2006
Last updated
06/30/2016
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