Aileen Richmond, MD
Family Medicine in Hollywood, FL. Individual provider (NPI-1).
NPI number1760619928
StatusActive
Last updated in NPPESMay 14, 2021
Details
- NPI
- 1760619928
- Entity type
- Individual (NPI-1)
- Name
- Aileen Richmond
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2009
- Certification date
- May 14, 2021
- Last updated
- May 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME142270 | FL | Yes |
| 207Q00000X | Family Medicine | 241629 | MA |
Practice location
4105 Pembroke RdHollywood, FL 33021-8103
Phone 954-276-5552 · Fax 954-985-2295
Mailing address
2900 Corporate WayDoor D
Miramar, FL 33025-3925
Phone 954-276-5685 · Fax 954-985-7074
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