Organization
RICHARD T ELMORE JR PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD TURNER ELMORE JR. PHD (PROPRIETOR)
(321) 728-9620
Entity
Organization
Contact information
Practice address
100 RIALTO PL, SUITE 754, MELBOURNE, FL 32901-3055
(321) 728-9620
(321) 951-1928
Mailing address
100 RIALTO PL, SUITE 754, MELBOURNE, FL 32901-3055
(321) 728-9620
(321) 951-1928
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY3228
FL
Other
Enumeration date
01/06/2010
Last updated
01/28/2014
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