Provider Demographics
NPI:1467754044
Name:RICHARD C. REHMEYER MDPA
Entity Type:Organization
Organization Name:RICHARD C. REHMEYER MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:CUTIS
Authorized Official - Last Name:REHMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-366-4124
Mailing Address - Street 1:1880 ARLINGTON ST
Mailing Address - Street 2:206
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3524
Mailing Address - Country:US
Mailing Address - Phone:941-366-4124
Mailing Address - Fax:941-366-5886
Practice Address - Street 1:1880 ARLINGTON ST
Practice Address - Street 2:206
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3524
Practice Address - Country:US
Practice Address - Phone:941-366-4124
Practice Address - Fax:941-366-5886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME12706207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty