Healthcare Provider Details

I. General information

NPI: 1871567081
Provider Name (Legal Business Name): RICHARD M. KUHARICH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

708 N 59TH AVE
PENSACOLA FL
32506-4612
US

IV. Provider business mailing address

708 N 59TH AVE
PENSACOLA FL
32506-4612
US

V. Phone/Fax

Practice location:
  • Phone: 850-450-7271
  • Fax:
Mailing address:
  • Phone: 850-450-7271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME77561
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: