NPI 1609803881

Randolph Macon Richardson, DMDMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Fort Myers, FL

Practice location

Address: 6120 Winkler Rd STE F, Fort Myers, FL 33919
Phone: (239) 437-1500
Fax: (239) 437-1560
Mailing address: PO Box 07352 6120 Winkler Rd STE F, Fort Myers, FL 33919

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DN0014165 (FL)

Other Oral & Maxillofacial Surgery providers in Florida →

Registry record

NPI: 1609803881
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.