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NPI Code Detail

MEDICARE: RICKEY RICHARDSON

MEDICARE: RICKEY RICHARDSON
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
1237700000XHearing Instrument SpecialistAS2786FL

General Provider Information

NPI Number : 1790627727
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICKEY RICHARDSON
Provider Business Mailing Address
First Line : 11251 COUNTY ROAD 223
Second Line :
City : OXFORD
State : FL
Zip : 34484-3377
Country : US
Telephone Number : 352-266-9992
Fax Number :
Provider Business Practice Location Address
First Line : 9570 SW HIGHWAY 200
Second Line :
City : OCALA
State : FL
Zip : 34481-7720
Country : US
Telephone Number : 352-237-0709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ RICKEY RICHARDSON ” Practice Location

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