Individual
RICHARD HARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 W ATWATER AVE, EUSTIS, FL 32726-5423
(407) 955-3666
Mailing address
211 W ATWATER AVE, EUSTIS, FL 32726-5423
(407) 955-3666
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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