Corral, Kent Richardson

Corral, Kent Richardson is an sole proprietor health care provider with primary practice located at 4700 N Habana Ave Suite 103, Tampa FL 33614-7160. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Corral, Kent Richardson can be contacted via phone (813) 348-0224.

Contact Information

Primary practice address
4700 N Habana Ave Suite 103 Tampa FL 33614-7160
Phone: (813) 348-0224
Fax: (813) 872-6792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X ME0035361 Florida

Profile Details

NPI number 1841263209
LBN Legal business name Corral, Kent Richardson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Jan 15th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841263209 NPPES
Florida Other 219133 AVMED
Florida Other 30392 AVMED

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