1396808671

Everything you always wanted to know about ROLAND M RICHARD MD but were afraid to ask.

ROLAND M RICHARD MD

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
ROLAND M RICHARD MD
Gender:
Male
Enumeration date:
2006-12-18
Last update date:
2012-07-23
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
379730900 Medicaid none FL
28986Y Other MEDICARE PTAN FL
28986 Other BCBS FL
290011057 Other RRMC FL

Taxonomies

Taxonomy State License Number Primary?
207RP1001X Pulmonary Disease FL ME 69651 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2393484504
Practice Location Address Telephone Number 2393484504
Mailing Address Fax Number 2393484506
Practice Location Address Fax Number 2393484506

Addresses

Type Address City State Postal Country
Mailing Address 6101 PINE RIDGE RD NAPLES FL 34119 FL
Practice Location Address 6101 PINE RIDGE RD NAPLES FL 34119 FL

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