Richards, Michael

Richards, Michael is an individual health care provider with primary practice located at 1050 Old Camp Rd Suite 202, The Villages FL 32162-1762. 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. Richards, Michael can be contacted via phone (352) 259-5960.

Contact Information

Primary practice address
1050 Old Camp Rd Suite 202 The Villages FL 32162-1762
Phone: (352) 259-5960
Fax: (352) 750-1854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101724 Florida

Profile Details

NPI number 1386604015
LBN Legal business name Richards, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Nov 4th, 2015 - about 9 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 1386604015 NPPES
Florida Other Y09Y6 BCBS FL
Florida MEDICAID 010951800 BCBS FL

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