| Henry J Richter Md Pa | |
|
1502 N Donnelly St Suite 110 Mt Dora FL 32757-2846 | |
| (352) 735-0068 | |
| (352) 735-0305 |
| Full Name | Henry J Richter Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1502 N Donnelly St, Mt Dora, Florida |
| Authorized Official Name and Position | Henry James Richter (PRESIDENT) |
| Authorized Official Contact | 3527350068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry J Richter Md Pa Po Box 1448 Eustis FL 32727-1448 Ph: (352) 735-0068 | Henry J Richter Md Pa 1502 N Donnelly St Suite 110 Mt Dora FL 32757-2846 Ph: (352) 735-0068 |
| NPI Number | 1528174869 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 04/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528174869 | NPI | - | NPPES |
| 59906 | Other | FL | BCBS |
| 066885100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME37512 (Florida) | Primary |
Carehere Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Carehere Clinic- City Of Mount Dora, Fl, 2110 North Donnelly Street, Mt Dora, FL 32757 Phone: 615-221-5901 | |
Zisholtz Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 N Donnelly Street, Suite 106, Mt Dora, FL 32757 Phone: 352-383-1324 |