Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 95061 | FL |
NPI | 1235180605 |
---|---|
Provider Name | Dr. Richard Kenneth Held II |
First Address | Leesburg, FL 34748-5285 |
Second Address | Leesburg, FL 34748-7601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 24/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
277586700 | (05) | FL |
I54384 | (02) | FL |
P00322693 | RR MEDICARE RACF (01) | FL |
P00328409 | RR MEDICARE LMIV (01) | FL |