Healthcare Provider Details

I. General information

NPI: 1003804832
Provider Name (Legal Business Name): PAUL ARTHUR RICHTER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 04/17/2020
Certification Date: 04/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7926 W HILLSBOROUGH AVE SUITE G
TAMPA FL
33615-4600
US

IV. Provider business mailing address

7926 W HILLSBOROUGH AVE SUITE G
TAMPA FL
33615-4600
US

V. Phone/Fax

Practice location:
  • Phone: 813-886-9180
  • Fax: 813-888-9093
Mailing address:
  • Phone: 813-886-9180
  • Fax: 813-888-9093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO OOO1517
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPO1517
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: