Individual
CURTIS RICHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 RIDGEFIELD AVE, OCOEE, FL 34761-2525
(321) 662-9065
Mailing address
705 RIDGEFIELD AVE, OCOEE, FL 34761-2525
(321) 662-9065
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688702379
—
FL
Enumeration date
04/08/2009
Last updated
04/08/2009
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