MEDICARE: DR. MARIE T RICHFIELD MD

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	207R00000X	Internal Medicine Physician	ME0038482	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346357191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE T RICHFIELD MD

Provider Business Mailing Address
First Line	:	6006 49TH ST N
Second Line	:	SUITE 120
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-2148
Country	:	US
Telephone Number	:	727-527-8788
Fax Number	:	727-527-8828

Provider Business Practice Location Address
First Line	:	6006 49TH ST N STE 120
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-2149
Country	:	US
Telephone Number	:	727-527-8788
Fax Number	:	727-527-8828

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	07/28/2008

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