Pell, Richard Fairfax

Pell, Richard Fairfax is an individual health care provider with primary practice located at 925 Ne 30Th Ter Suite 102, Homestead FL 33033-7613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Pell, Richard Fairfax can be contacted via phone (305) 247-1701.

Contact Information

Primary practice address
925 Ne 30Th Ter Suite 102 Homestead FL 33033-7613
Phone: (305) 247-1701
Fax: (305) 247-1799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME96926 Florida

Profile Details

NPI number 1891770194
LBN Legal business name Pell, Richard Fairfax
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated May 28th, 2013 - about 13 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 1891770194 NPPES
Florida MEDICAID 277567100
Florida Other 305551
Florida Other 92026
Florida Other SG082540

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