Joan L Richardson, MD
Family Medicine, Adult Medicine in Miami, FL. Individual provider (NPI-1).
NPI number1104585017
StatusActive
Last updated in NPPESDec 8, 2021
Details
- NPI
- 1104585017
- Entity type
- Individual (NPI-1)
- Name
- Joan L Richardson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2021
- Certification date
- Dec 8, 2021
- Last updated
- Dec 8, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | 44567 | FL | Yes |
Practice location
3615 Poinciana AveMiami, FL 33133-6528
Phone 305-529-9224
Mailing address
3615 Poinciana AveMiami, FL 33133-6528
Phone 305-529-9224
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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