Richardson, Randolph Macon
Richardson, Randolph Macon is an individual health care provider with primary practice located at 6120 Winkler Rd Ste F, Fort Myers FL 33919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Richardson, Randolph Macon can be contacted via phone (239) 437-1500.Contact Information
Primary practice address
6120 Winkler Rd Ste F
Fort Myers FL 33919
Phone: (239) 437-1500
Fax: (239) 437-1560
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | DN0014165 | Florida |
Profile Details
NPI number | 1609803881 |
---|---|
LBN Legal business name | Richardson, Randolph Macon |
Credentials | DMD MD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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