Olton, Richard

Olton, Richard is an individual health care provider with primary practice located at 2523 Dora Ave , Tavares FL 32778-4977. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Olton, Richard can be contacted via phone (352) 508-5176.

Contact Information

Primary practice address
2523 Dora Ave Tavares FL 32778-4977
Phone: (352) 508-5176
Fax: (352) 508-5179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106951 Florida

Profile Details

NPI number 1215278783
LBN Legal business name Olton, Richard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2013
Last updated Nov 17th, 2016 - about 8 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 1215278783 NPPES
Florida MEDICAID 008420100

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