Provider Demographics
NPI:1033301403
Name:SPEICHER, RICHARD LLOYD II (PA C)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LLOYD
Last Name:SPEICHER
Suffix:II
Gender:M
Credentials:PA C
Other - Prefix:
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Mailing Address - Street 1:2555 S VOLUSIA AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32763-9116
Mailing Address - Country:US
Mailing Address - Phone:386-774-0401
Mailing Address - Fax:386-774-5783
Practice Address - Street 1:2575 S VOLUSIA AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-9135
Practice Address - Country:US
Practice Address - Phone:386-774-0401
Practice Address - Fax:386-774-5783
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2017-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA0002394363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical