Individual
JOEL EDWARD RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME110973
FL
207RG0100X
Gastroenterology Physician
Primary
ME110973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004019500
—
FL
01
—
14H33
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/13/2005
Last updated
04/05/2021
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