Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | ME46713 | FL |
NPI | 1235185984 |
---|---|
Provider Name | Dr. Richard Michael Galitz |
First Address | Bay Harbor Islands, FL 33154-1916 |
Second Address | Aventura, FL 33180-2801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 08/04/2008 |