| Richard L Fox Do Pa | |
|
7171 N University Dr Ste 306 Tamarac FL 33321-2902 | |
| (954) 721-4300 | |
| (954) 721-8080 |
| Full Name | Richard L Fox Do Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7171 N University Dr Ste 306, Tamarac, Florida |
| Authorized Official Name and Position | Richard L Fox (OWNERPRESIDENT) |
| Authorized Official Contact | 9547214300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Fox Do Pa 7171 N University Dr Ste 203 Tamarac FL 33321-2902 Ph: (954) 721-4300 | Richard L Fox Do Pa 7171 N University Dr Ste 306 Tamarac FL 33321-2902 Ph: (954) 721-4300 |
| NPI Number | 1376622720 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 02/25/2014 |
| Medicare PECOS PAC ID | 3870695174 |
|---|---|
| Medicare Enrollment ID | O20070216000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376622720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME97201 (Florida) | Secondary |
| 207R00000X | Internal Medicine | OS8487 (Florida) | Primary |
| Provider Name | Richard L Fox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457336943 PECOS PAC ID: 5395708291 Enrollment ID: I20041111000328 |
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