Organization · Type 2 NPI

Will Richardson MD PA

Medical Specialty Clinic/Center · Fort Lauderdale, FL

NPI number 1508952458 Active

Practice location

1120 Bayview Dr
Fort Lauderdale, FL 33304-2505

Call (954) 537-4106 Map

Fax (954) 537-4186

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XME94167 (FL)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

6 other providers at this address

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About NPI 1508952458

Will Richardson MD PA's National Provider Identifier is 1508952458, issued on Oct 5, 2006. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Nov 4, 2009.