Wacksman, Richard M
Wacksman, Richard M is an individual health care provider with primary practice located at 6804 Cecelia Dr , New Port Richey FL 34653-4935. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wacksman, Richard M can be contacted via phone (727) 232-0644.Contact Information
Primary practice address
6804 Cecelia Dr
New Port Richey FL 34653-4935
Phone: (727) 232-0644
Fax: (888) 546-0488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD035846E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | ME0086161 | Florida |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 35.135520 | Ohio |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0086161 | Florida |
Profile Details
| NPI number | 1538128137 |
|---|---|
| LBN Legal business name | Wacksman, Richard M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Feb 18th, 2021 - about 4 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 | 1538128137 | NPPES |
| Florida | MEDICAID | 007234300 |
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