Richardson, Owen S.

Richardson, Owen S. is an individual health care provider with primary practice located at 13681 Doctors Way Ste 140 , Fort Myers FL 33912-4300. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Richardson, Owen S. can be contacted via phone (239) 343-0434.

Contact Information

Primary practice address
13681 Doctors Way Ste 140 Fort Myers FL 33912-4300
Phone: (239) 343-0434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME169035 Florida
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X ME169035 Florida
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME169035 Florida

Profile Details

NPI number 1396178943
LBN Legal business name Richardson, Owen S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2013
Last updated Oct 2nd, 2024 - about 2 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 1396178943 NPPES
Florida MEDICAID 122875100

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