IndividualActive
Richard Medeiros, ARNP
NPI 1295833382 · Occupational Health Nurse Practitioner · Lake City, FL
Provider details
- NPI number
- 1295833382
- Entity type
- Individual
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 636592 (FL)
Practice location
619 S Marion Ave
Lake City, FL 32025-5808
Phone: (386) 755-3016
Fax: (386) 754-6384
Mailing address
420 Sw Lockheed Ln
Lake City, FL 32025-1643
Registry dates
- Enumerated
- 2006-09-20
- 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.