MEDICARE: CARON LITRICE RICHARDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker	240147	FL

General Provider Information

NPI Number	:	1255286563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARON LITRICE RICHARDS

Provider Business Mailing Address
First Line	:	6931 RED ROBIN DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-3668
Country	:	US
Telephone Number	:	904-233-8763
Fax Number	:

Provider Business Practice Location Address
First Line	:	6931 RED ROBIN DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-3668
Country	:	US
Telephone Number	:	904-233-8763
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ CARON LITRICE RICHARDS ” Practice Location

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