Philips, Richard Gary

Philips, Richard Gary is an sole proprietor health care provider with primary practice located at 936 Nw 127Th Ave , Coral Springs FL 33071-4404. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Philips, Richard Gary can be contacted via phone (954) 345-9506.

Contact Information

Primary practice address
936 Nw 127Th Ave Coral Springs FL 33071-4404
Phone: (954) 345-9506
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO-1906 Florida

Profile Details

NPI number 1134117641
LBN Legal business name Philips, Richard Gary
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2005
Last updated Nov 20th, 2007 - about 19 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 1134117641 NPPES
Florida MEDICAID 029704600

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