Richard Wilson Conrey
Podiatrist Prosthetist Physical Therapist
450 N State Road 7
Plantation
, Florida 33317-2834
Richard Wilson Conrey
Podiatrist Prosthetist Physical Therapist
450 N State Road 7
Plantation
, Florida 33317-2834
(954) 584-7794
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About
Features
Specialties
- Podiatrist
- Prosthetist
- Physical Therapist
Languages spoken
- English
Location
First Address
- Richard Wilson Conrey
- 450 N State Road 7
- Plantation, FL
- Zip : 33317-2834
- Fax : (954) 584-7794
- Phone : (954) 584-1954
Second Address
- Richard Wilson Conrey
- 450 N State Road 7
- Plantation, FL
- Zip : 33317-2834
- Fax : (954) 584-7794
- Phone : (954) 584-1954
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | POR150 | FL |
| N | 222Z00000X | Podiatrist | POR150 | FL |
| Y | 224P00000X | Prosthetist | POR150 | FL |
| N | 225100000X | Physical Therapist | PT11703 | FL |
National Provider Identifier
| NPI | 1063472041 |
|---|---|
| Provider Name | Richard Wilson Conrey |
| First Address | Plantation, FL 33317-2834 |
| Second Address | Plantation, FL 33317-2834 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2006 |
| Last Update Date | 11/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.