IndividualActive
Charlie Richardson, M.D.
NPI 1063401925 · Surgery Physician · Madison, FL
Provider details
- NPI number
- 1063401925
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- ME30397 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
309 Ne Marion St
Madison, FL 32340-2511
Phone: (850) 973-3456
Fax: (850) 973-9399
Approximate (ZIP-level) locationGet directions
Mailing address
2740 Hickory Ridge Rd
Tallahassee, FL 32308-4010
Registry dates
- Enumerated
- 2005-10-13
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.