Individual
RICHARD JOSEPH HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
148 13TH ST SW, LARGO, FL 33770-3127
(727) 581-8706
(727) 586-3743
Mailing address
PO BOX 2410, LARGO, FL 33779-2410
(727) 581-8706
(727) 586-3743
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME76446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260863400
—
FL
Enumeration date
07/12/2005
Last updated
04/25/2018
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