Healthcare Provider Details

I. General information

NPI: 1891844965
Provider Name (Legal Business Name): RICHARD L. DOLSEY, PHC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 09/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7887 N. KENDALL DRIVE SUITE 102
MIAMI FL
33156
US

IV. Provider business mailing address

4483 NW 36TH STREET SUITE 120
MIAMI FL
33166
US

V. Phone/Fax

Practice location:
  • Phone: 305-279-7722
  • Fax: 305-279-2090
Mailing address:
  • Phone: 305-888-7555
  • Fax: 305-888-7404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberME27131
License Number StateFL

VIII. Authorized Official

Name: KEVIN J PAGE
Title or Position: CFO/COO
Credential:
Phone: 305-888-7555