Close, Richard
Close, Richard is an individual health care provider with primary practice located at Memorial Hospital West 703 N. Flamingo Road, Pembroke Pines FL 33028. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Close, Richard can be contacted via phone (954) 844-7135.Contact Information
Primary practice address
Memorial Hospital West 703 N. Flamingo Road
Pembroke Pines FL 33028
Phone: (954) 844-7135
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN2726872 | Florida |
Profile Details
| NPI number | 1154324382 |
|---|---|
| LBN Legal business name | Close, Richard |
| Credentials | A.R.N.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Apr 19th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154324382 | NPPES |
| Florida | MEDICAID | 303115200 | |
| Florida | Other | Y9051 |
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