Individual
DR. RICHARD LESTER SHORT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2501 W BAY ISLE DR. SE, ST. PETERSBURG, FL 33705
(727) 235-1149
(727) 898-3427
Mailing address
2501 W BAY ISLE DR. SE, ST. PETERSBURG, FL 33705
(727) 235-1149
(727) 898-3427
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
OS4205
FL
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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