Provider Demographics
NPI:1225262470
Name:OXMAN, RICHARD MILLER (MS)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:MILLER
Last Name:OXMAN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9245 NW 9TH PL
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-6121
Mailing Address - Country:US
Mailing Address - Phone:954-770-0690
Mailing Address - Fax:
Practice Address - Street 1:9245 NW 9TH PL
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-6121
Practice Address - Country:US
Practice Address - Phone:954-770-0690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-02
Last Update Date:2009-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1046106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL688457196Medicaid