Nutt, Richard L

Nutt, Richard L is an individual health care provider with primary practice located at 1401 W Bay Dr , Largo FL 33770-2207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nutt, Richard L can be contacted via phone (727) 585-9500.

Contact Information

Primary practice address
1401 W Bay Dr Largo FL 33770-2207
Phone: (727) 585-9500
Fax: (727) 584-1938
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME95431 Florida

Profile Details

NPI number 1821070293
LBN Legal business name Nutt, Richard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jan 6th, 2014 - about 12 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 1821070293 NPPES
Florida Other 53202 BCBS
Florida Other 0007307922 BCBS
Florida MEDICAID 274989100 BCBS
Florida Other U7288Y BCBS
Florida Other 7118692 BCBS
Florida Other P00420506 BCBS

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