CHARLES HARRY RICHARD

FORT LAUDERDALE, FL
NPI1497766158
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  OS8590)
Enumeration Date2006-08-10
Last Update Date2012-09-28
Business Address
-- CHARLES HARRY RICHARD DO
1528 NE 4TH AVE
FORT LAUDERDALE, FL 33304-1036
Phone number: 954-467-8855
Mailing Address
-- CHARLES HARRY RICHARD DO
1528 NE 4TH AVE
FORT LAUDERDALE, FL 33304-1036
Phone number: 954-467-8855
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