Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | RN133900 | GA |
Y | 207VX0000X | Obstetrician | 11015475 | FL |
NPI | 1073618245 |
---|---|
Provider Name | Pamela M Richard-Torke |
First Address | Sarasota, FL 34237-6102 |
Second Address | Sarasota, FL 34237-6102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 25/01/2022 |