Healthcare Provider Details

I. General information

NPI: 1649192733
Provider Name (Legal Business Name): DEBBIE MARIE RICHARDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 OSPREY LANDING DR
LAKELAND FL
33813-4681
US

IV. Provider business mailing address

4132 BUTTONBUSH CIR
LAKELAND FL
33811-3222
US

V. Phone/Fax

Practice location:
  • Phone: 863-619-5471
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: