MEDICARE: HOBART KAYE RICHEY 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	207NS0135X	Procedural Dermatology Physician	ME0044811	FL
2	207ND0900X	Dermatopathology Physician		FL

General Provider Information

NPI Number	:	1881681690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOBART KAYE RICHEY M.D.

Provider Business Mailing Address
First Line	:	728 THE RIALTO
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34285-3524
Country	:	US
Telephone Number	:	941-484-2246
Fax Number	:	941-485-7421

Provider Business Practice Location Address
First Line	:	728 THE RIALTO
Second Line	:
City	:	VENICE
State	:	FL
Zip	:	34285-3524
Country	:	US
Telephone Number	:	941-484-2246
Fax Number	:	941-485-7421

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

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	08/30/2007

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