Individual
JEFFREY S. RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6917 COLLINS AVE, UNIT #1411, MIAMI BEACH, FL 33141-3263
(786) 859-2254
Mailing address
6917 COLLINS AVE, UNIT #1411, MIAMI BEACH, FL 33141-3263
(786) 859-2254
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA6017
DEPARTMENT OF HEALTH
FL
Enumeration date
07/25/2016
Last updated
07/25/2016
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