Provider Demographics
NPI:1457411951
Name:VERNICK, RICHARD T (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:T
Last Name:VERNICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 N US HIGHWAY 1 UNIT BA503
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-4498
Mailing Address - Country:US
Mailing Address - Phone:561-427-3758
Mailing Address - Fax:561-288-6237
Practice Address - Street 1:1000 N US HIGHWAY 1 UNIT BA503
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477
Practice Address - Country:US
Practice Address - Phone:561-427-3758
Practice Address - Fax:561-288-6237
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA33162207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease