Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIE FORREST RICHARDSON JR., MD
Active Sole ProprietorWILLIE FORREST RICHARDSON JR., MD is a Dermatology healthcare provider located in FORT LAUDERDALE, Florida. NPI 1043328230 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FORT LAUDERDALE, FL
Registration Details
- NPI Number
- 1043328230
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2006 (19.77862898674 yrs)
- Last Updated
- Nov 3, 2011
- License
-
ME94167 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1120 BAYVIEW DRFORT LAUDERDALE, FL, 333042505Browse FL providers · Browse ZIP 33304
- Phone
- 9545374106
- Fax
- 9545374186
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in FORT LAUDERDALE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. NELSON CHARLIE | M.D. | 1811998982 |
| JEROME R OBED | DO | 1720055585 |
| DR. MARK STEVEN BERNHARDT | M.D. | 1811922149 |
| DR. GREGORY L PEREZ | MD | 1548271976 |
| JASON GREEN | DO | 1427167261 |
| DR. LISE D BROWN | D.O. | 1306947163 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.