Individual
MS. SHARON PAULETTE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4112 SUSAN AVE, TALLAHASSEE, FL 32305-7530
(850) 656-9199
Mailing address
4112 SUSAN AVE, TALLAHASSEE, FL 32305-7530
(850) 212-4897
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
228879
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
670217196
—
FL
05
—
687526200
—
FL
Enumeration date
10/09/2005
Last updated
03/14/2011
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