Richmond, Gary J
Richmond, Gary J is an sole proprietor health care provider with primary practice located at 315 Se 14Th St , Fort Lauderdale FL 33316-1929. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Richmond, Gary J can be contacted via phone (954) 524-2250.Contact Information
Primary practice address
315 Se 14Th St
Fort Lauderdale FL 33316-1929
Phone: (954) 524-2250
Fax: (954) 524-5833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0048892 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME0048892 | Florida |
Profile Details
| NPI number | 1255345963 |
|---|---|
| LBN Legal business name | Richmond, Gary J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 20th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255345963 | NPPES |
| Florida | MEDICAID | 056701900 |
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