Healthcare Provider Details

I. General information

NPI: 1689613663
Provider Name (Legal Business Name): ALAN RICHMAN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 08/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 SW 1ST AVENUE DEPT OF PATHOLOGY
OCALA FL
34474-4004
US

IV. Provider business mailing address

PO BOX 63069
CHARLESTON SC
29419-3069
US

V. Phone/Fax

Practice location:
  • Phone: 352-351-7200
  • Fax:
Mailing address:
  • Phone: 843-569-8409
  • Fax: 843-569-8509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALAN V RICHMAN
Title or Position: PRESIDENT MUNROE PATHOLOGY ASSOCIAT
Credential: MD
Phone: 352-351-7263