Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | ME119751 | FL |
N | 208000000X | Pediatrician | ME119751 | FL |
NPI | 1063707123 |
---|---|
Provider Name | Richmond Darko |
First Address | Miami, FL 33155-3009 |
Second Address | Miami, FL 33155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2011 |
Last Update Date | 26/06/2018 |