Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME117527 | FL |
Y | 208600000X | Surgeon | ME117527 | FL |
N | 2086S0122X | Plastic and Reconstructive Surgery | ME117527 | FL |
NPI | 1023276037 |
---|---|
Provider Name | Dr. Richard Bradley Nesmith |
First Address | Gainesville, FL 32605-4263 |
Second Address | Gainesville, FL 32605-4263 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 26/01/2017 |