Richardson, Athena Lynette

Richardson, Athena Lynette is an individual health care provider with primary practice located at 6671 13Th Ave N Ste. 1-D, Saint Petersburg FL 33710-5417. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Richardson, Athena Lynette can be contacted via phone (727) 381-1147.

Contact Information

Primary practice address
6671 13Th Ave N Ste. 1-D Saint Petersburg FL 33710-5417
Phone: (727) 381-1147
Fax: (727) 345-2489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME71020 Florida

Profile Details

NPI number 1245256171
LBN Legal business name Richardson, Athena Lynette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jun 10th, 2021 - about 3 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 1245256171 NPPES
Florida MEDICAID 251771000

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