Provider Demographics
NPI:1215935226
Name:REHMEYER, RICHARD C (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:C
Last Name:REHMEYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 ARLINGTON ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3524
Mailing Address - Country:US
Mailing Address - Phone:941-366-4124
Mailing Address - Fax:941-366-5886
Practice Address - Street 1:1880 ARLINGTON ST
Practice Address - Street 2:SUITE 206
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3524
Practice Address - Country:US
Practice Address - Phone:941-366-4124
Practice Address - Fax:941-366-5886
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-13
Last Update Date:2007-07-08
Deactivation Date:2006-03-17
Deactivation Code:
Reactivation Date:2006-03-21
Provider Licenses
StateLicense IDTaxonomies
FLME12706174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD56866Medicare UPIN
FL58172Medicare ID - Type Unspecified