MR. RICHARD C STURDIVANT (NPI# 1417150905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417150905 |
Entity Type | Individual |
Full Name | MR. RICHARD C STURDIVANT |
Other Name | MR. RICK C STURDIVANT |
Credential | LMT |
Practice Address |
123 1st St Melrose FL 32666-3030 |
Practice Telephone | 3524782300 |
Practice Fax Number | 3524782300 |
Mailing Telephone | 3524782300 |
Mailing Fax Number | 3524782300 |
Enumeration Date | 2007-06-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | MA18359 | FL | Other Service Providers |
Street Address |
123 1ST ST |
City | MELROSE |
State | FL |
Zip Code | 32666-3030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487166021 | Sandra June Northway | Nurse Practitioner | 1326 Fl-100 Melrose, Fl 32666, Melrose, FL 32666 | 2017-11-03 |
1477932408 | Eswt Inc | Specialist | 671 Se 5th Avenue, Box 91, Melrose, FL 32666 | 2015-05-22 |
1770722936 | Medical and Wellness Center of Melrose Corporation | Clinic/Center | 1745 Sr 100, Melrose, FL 32666 | 2009-02-11 |
1598987786 | Jeffrey C Smith | Dentist | 100 S R 26, Melrose, FL 32666 | 2007-05-03 |
1558491555 | Elisa Neale-tobener | Speech-Language Pathologist | 861 Hwy 21, Melrose, FL 32666 | 2007-03-07 |
1649280785 | Laura S Hodges | Physical Therapist | 25727 Ne Sr 26, Melrose, FL 32666 | 2006-08-09 |
1376682518 | Lake Area Physical Therapy Inc | Occupational Therapist | 25727 Ne State Rd 26, Melrose, FL 32666-1099 | 2007-02-05 |
1194104414 | Anne Wister | Specialist | 102 Serenity Dr, Melrose, FL 32666-3032 | 2015-05-19 |
1609033646 | Canaide Inc | Supports Brokerage | 723 State Road 26, Melrose, FL 32666-3139 | 2008-05-19 |
1831230564 | Delcora Howell | Nurse Practitioner | 1745 State Road 100, Melrose, FL 32666-3146 | 2007-02-08 |
Find all providers in zip 32666 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396195558 | Michaela Flaherty | Specialist | 169 Linwood Ave, Melrose, MA 02176-4723 | 2016-06-20 |
1477932408 | Eswt Inc | Specialist | 671 Se 5th Avenue, Box 91, Melrose, FL 32666 | 2015-05-22 |
1194104414 | Anne Wister | Specialist | 102 Serenity Dr, Melrose, FL 32666-3032 | 2015-05-19 |
1033460407 | Michael P Stead | Specialist | 18 W Wyoming Ave Apt 12, Melrose, MA 02176-4656 | 2012-09-26 |
1265600779 | Felicito L. Faller, M.d. Inc | Specialist | 218 Upham St, Melrose, MA 02176-3549 | 2008-02-19 |
1548475593 | Amy Lynae Varner | Specialist | 300 State Road 26, Suite 200-3, Melrose, FL 32666-3902 | 2007-05-12 |
1013058916 | Fischer Neurology Assoc PC | Specialist | 830 Main St. Ground Level, Melrose, MA 02176-2711 | 2007-02-12 |
1790744886 | Edward Fischer | Specialist | 830 Main Street, Unit One, Melrose, MA 02176 | 2006-03-20 |
1902865017 | Michele R Sammaritano | Specialist | 830 Main St Unit 1, Melrose, MA 02176-2711 | 2006-03-20 |
1144214032 | Abraham T Shurland | Specialist | 1 City Hall Plz, Melrose, MA 02176-3149 | 2005-09-07 |
Find all providers in MELROSE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.