Harrell, Richard Mack

Harrell, Richard Mack is an individual health care provider with primary practice located at 1150 N 35Th Ave Suite 200, Hollywood FL 33021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Harrell, Richard Mack can be contacted via phone (954) 265-0000.

Contact Information

Primary practice address
1150 N 35Th Ave Suite 200 Hollywood FL 33021
Phone: (954) 265-0000
Fax: (954) 893-6347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME48516 Florida

Profile Details

NPI number 1437114550
LBN Legal business name Harrell, Richard Mack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Mar 19th, 2021 - about 4 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 1437114550 NPPES
Florida MEDICAID 371795000

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