Provider Demographics
NPI:1497076335
Name:RICHTER, ELIZABETH R (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:R
Last Name:RICHTER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:RICHTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:3920 BEE RIDGE RD BLDG D
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1207
Mailing Address - Country:US
Mailing Address - Phone:941-924-0303
Mailing Address - Fax:941-924-0309
Practice Address - Street 1:3920 BEE RIDGE RD BLDG D
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1207
Practice Address - Country:US
Practice Address - Phone:941-924-0303
Practice Address - Fax:941-924-0309
Is Sole Proprietor?:No
Enumeration Date:2010-06-15
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME127740207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist