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Organization

RICHARD C CHILDERS MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD CHARLES CHILDERS MD (PRESIDENT)
(352) 331-0418
Entity
Organization

Contact information

Practice address
928 NW 57TH ST, GAINESVILLE, FL 32605-4482
(352) 331-0418
(352) 331-0133
Mailing address
928 NW 57TH ST, GAINESVILLE, FL 32605-4482
(352) 331-0418
(352) 331-0133

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0017669
FL

Other

Enumeration date
10/14/2010
Last updated
08/31/2011
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