Nettboy, Richard Mark

Nettboy, Richard Mark is an sole proprietor health care provider with primary practice located at 22819 North Sandlefoot Blvd , Boca Raton FL 33428-3937. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Nettboy, Richard Mark can be contacted via phone (561) 482-3338.

Contact Information

Primary practice address
22819 North Sandlefoot Blvd Boca Raton FL 33428-3937
Phone: (561) 482-3338
Fax: (561) 482-8024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1387 Florida
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO1387 Florida

Profile Details

NPI number 1538145974
LBN Legal business name Nettboy, Richard Mark
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated May 21st, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538145974 NPPES
Florida MEDICAID 029636800

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