Richardson, Willie Forrest
Richardson, Willie Forrest is an sole proprietor health care provider with primary practice located at 1120 Bayview Dr , Fort Lauderdale FL 33304-2505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Richardson, Willie Forrest can be contacted via phone (954) 537-4106.Contact Information
Primary practice address
1120 Bayview Dr
Fort Lauderdale FL 33304-2505
Phone: (954) 537-4106
Fax: (954) 537-4186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME94167 | Florida |
Profile Details
| NPI number | 1043328230 |
|---|---|
| LBN Legal business name | Richardson, Willie Forrest |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Nov 3rd, 2011 - about 13 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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