Richmond, Gary J

Richmond, Gary J is an sole proprietor health care provider with primary practice located at 315 Se 14Th St , Fort Lauderdale FL 33316-1929. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Richmond, Gary J can be contacted via phone (954) 524-2250.

Contact Information

Primary practice address
315 Se 14Th St Fort Lauderdale FL 33316-1929
Phone: (954) 524-2250
Fax: (954) 524-5833
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0048892 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME0048892 Florida

Profile Details

NPI number 1255345963
LBN Legal business name Richmond, Gary J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Jul 20th, 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 1255345963 NPPES
Florida MEDICAID 056701900

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