Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO OOO1517 | FL |
Y | 222Z00000X | Podiatrist | PO OOO1517 | FL |
N | 213ES0131X | Foot Surgery | PO1517 | FL |
NPI | 1003804832 |
---|---|
Provider Name | Dr. Paul Arthur Richter |
First Address | Tampa, FL 33615-4600 |
Second Address | Tampa, FL 33615-4600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2005 |
Last Update Date | 17/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
104003200 | (05) | FL |
480002605 | RAILROAD MEDICARE (01) | FL |
T84657 | (02) | FL |