Medeiros, Richard Anthony

Medeiros, Richard Anthony is an sole proprietor health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Occupational Health, which is considered as his primary health care specialty. Medeiros, Richard Anthony can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
619 S Marion Ave Lake City FL 32025-5808
Phone: (386) 755-3016
Fax: (386) 754-6384
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 636592 Florida

Profile Details

NPI number 1295833382
LBN Legal business name Medeiros, Richard Anthony
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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