Rutherford, Richard Leslie
Rutherford, Richard Leslie is an individual health care provider with primary practice located at 1600 Lakeland Hills Blvd , Lakeland FL 33805-3019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Rutherford, Richard Leslie can be contacted via phone (863) 680-7000.Contact Information
Primary practice address
1600 Lakeland Hills Blvd
Lakeland FL 33805-3019
Phone: (863) 680-7000
Fax: (866) 264-8519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME30405 | Florida |
Profile Details
| NPI number | 1861465262 |
|---|---|
| LBN Legal business name | Rutherford, Richard Leslie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jun 21st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861465262 | NPPES |
| Florida | MEDICAID | 064918000 |
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