Individual
BRETT S. RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, CRS, CPT
Contact information
Practice address
24880 BURNT PINE DR STE 8, BONITA SPRINGS, FL 34134-4936
(239) 206-2955
Mailing address
24880 BURNT PINE DR STE 8, BONITA SPRINGS, FL 34134-4936
(239) 206-2955
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
86-2784754
FL
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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