Provider Demographics
NPI:1780758599
Name:BELL, RICHARD P I (LMT)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:P
Last Name:BELL
Suffix:I
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:P
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT
Mailing Address - Street 1:2751 KILGORE PL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-8037
Mailing Address - Country:US
Mailing Address - Phone:941-954-6921
Mailing Address - Fax:
Practice Address - Street 1:6384 N LOCKWOOD RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2531
Practice Address - Country:US
Practice Address - Phone:194-122-6184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA # 46554305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service