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Individual

RICHARD A. NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
6111 KINGBIRD MANOR DR, LITHIA, FL 33547-5051
(813) 857-8094
Mailing address
6111 KINGBIRD MANOR DR, LITHIA, FL 33547-5051
(813) 857-8094

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS6364
FL

Other

Enumeration date
11/02/2006
Last updated
07/08/2007
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