Philips, Richard Gary
Philips, Richard Gary is an sole proprietor health care provider with primary practice located at 936 Nw 127Th Ave , Coral Springs FL 33071-4404. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Philips, Richard Gary can be contacted via phone (954) 345-9506.Contact Information
Primary practice address
936 Nw 127Th Ave
Coral Springs FL 33071-4404
Phone: (954) 345-9506
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO-1906 | Florida |
Profile Details
NPI number | 1134117641 |
---|---|
LBN Legal business name | Philips, Richard Gary |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 10th, 2005 |
Last updated | Nov 20th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134117641 | NPPES |
Florida | MEDICAID | 029704600 |
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