Individual
LATASHA DENEA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3131 DANIELS RD, WINTER GARDEN, FL 34787-7013
(407) 395-2865
Mailing address
3190 SPICY CEDAR LN, STONECREST, GA 30038-7161
(470) 687-3990
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11039168
FL
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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