MEDICARE: RICHARD B BYMASTER M.D

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	207RB0002X	Obesity Medicine (Internal Medicine) Physician	ME61219	FL
2	207R00000X	Internal Medicine Physician	61219	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01384114	OTHER	FL	R&R MEDICARE

General Provider Information

NPI Number	:	1689623696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD B BYMASTER M.D

Provider Business Mailing Address
First Line	:	38135 MARKET SQ
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-7505
Country	:	US
Telephone Number	:	813-528-4975
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 W. MARTIN L. KING JR. BLVD
Second Line	:	SUITE 450
City	:	TAMPA
State	:	FL
Zip	:	33607-6383
Country	:	US
Telephone Number	:	813-875-8453
Fax Number	:	813-377-1390

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

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	08/30/2021

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Directions to “ RICHARD B BYMASTER M.D” Practice Location

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