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NPI Code Detail

MEDICARE: JAVITA RICHARDSON SOCIAL WORKER

MEDICARE: JAVITA RICHARDSON SOCIAL WORKER
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
1104100000XSocial WorkerISW22704FL

General Provider Information

NPI Number : 1740774827
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAVITA RICHARDSON SOCIAL WORKER
Provider Business Mailing Address
First Line : 13000 BRUCE B DOWNS BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33612-4745
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13515 LAKE TERRACE LN
Second Line :
City : TAMPA
State : FL
Zip : 33637-1003
Country : US
Telephone Number : 813-972-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2018
Last Update Date : 05/15/2026

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Directions to “ JAVITA RICHARDSON SOCIAL WORKER” Practice Location

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