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NPI Code Detail

MEDICARE: DR PAUL T. RICHMAN, P.A.

MEDICARE: DR PAUL T. RICHMAN, P.A.
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
1261QA1903XAmbulatory Surgical Clinic/CenterDN003203FL

General Provider Information

NPI Number : 1316208572
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR PAUL T. RICHMAN, P.A.
Provider Business Mailing Address
First Line : 1045 NE 125TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-5804
Country : US
Telephone Number : 305-891-3306
Fax Number : 305-891-4476
Provider Business Practice Location Address
First Line : 1045 NE 125TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-5804
Country : US
Telephone Number : 305-891-3306
Fax Number : 305-891-4476
Authorized Official
Title or Position : PRESIDENT
Name : DR. PAUL THEODORE RICHMAN
Credential : D.D.S.
Telephone Number : 305-891-3306
Provider Enumeration Date : 06/05/2012
Last Update Date : 06/05/2012

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