Richards, Dlisa

Richards, Dlisa is an individual health care provider with primary practice located at 111 Grand Palms Dr , Pembroke Pines FL 33027-1329. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Richards, Dlisa can be contacted via phone (305) 405-0400.

Contact Information

Primary practice address
111 Grand Palms Dr Pembroke Pines FL 33027-1329
Phone: (305) 405-0400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA 22727 Florida

Profile Details

NPI number 1780964452
LBN Legal business name Richards, Dlisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated Aug 25th, 2011 - about 14 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 1780964452 NPPES
Florida MEDICAID 887989300

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