| NPI | 1508004235 |
|---|---|
| Former Legal Business Name | RICHARD L. VAN BUSKIRK, D.O., P.A. |
| Entity Type | Organization |
| Authorized Contact | RICHARD LONGWILL VAN BUSKIRK President/Physician 941-924-1729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: FL OS0005899) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2012-09-11 |