Individual
RICHARD CANNON PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9980 CENTRAL PARK BLVD N STE 210, BOCA RATON, FL 33428-1703
(561) 342-8822
(561) 342-8985
Mailing address
7301 W PALMETTO PARK RD STE 204A, BOCA RATON, FL 33433-3456
(561) 342-8822
(561) 342-8985
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS12896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327877
—
SC
Enumeration date
07/25/2007
Last updated
02/06/2020
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