Individual provider · NPI-1

Dr. Richard Rhendyll Abitria, MD

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine · Kings Bay, GA

NPI number1184035909

StatusActive

Last updated in NPPESMar 27, 2025

Details

NPI: 1184035909
Entity type: Individual (NPI-1)
Name: Dr. Richard Rhendyll Abitria
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: May 14, 2014
Certification date: Mar 27, 2025
Last updated: Mar 27, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2083P0500X	Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine	ME151301	FL	Yes
207RA0401X	Internal Medicine, Addiction Medicine	ME151301	FL
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

881 Uss James Madison Rd
Kings Bay, GA 31547-2531

Phone 904-571-1363

Mailing address

10176 Silverbrook Trl
Jacksonville, FL 32256-5860

Phone 904-571-1363

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