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NPI Code Detail

MEDICARE: MR. RICHARD A. REAL MD

MEDICARE: MR. RICHARD A. REAL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology PhysicianME63371FL
2207V00000XObstetrics & Gynecology PhysicianME63371FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME63371OTHERFLMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174528236
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD A. REAL MD
Provider Business Mailing Address
First Line : 110 S WOODLAND ST
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3546
Country : US
Telephone Number : 407-905-8827
Fax Number : 407-905-8998
Provider Business Practice Location Address
First Line : 225 E 7TH ST
Second Line :
City : APOPKA
State : FL
Zip : 32703-5327
Country : US
Telephone Number : 407-905-8827
Fax Number : 407-886-4282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 08/01/2023

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