Individual
TAVIA RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5627 ASHLEY OAKS DR APT 4, TAMPA, FL 33617-1547
(813) 452-1473
Mailing address
3501 BESSIE COLEMAN BLVD # 22315, TAMPA, FL 33630-5009
(813) 452-1473
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/03/2026
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