Provider Demographics
NPI:1932158235
Name:HANDLER, RICHARD J (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:HANDLER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:777 37TH ST
Mailing Address - Street 2:SUITE C-107
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-4873
Mailing Address - Country:US
Mailing Address - Phone:772-562-3234
Mailing Address - Fax:772-562-3236
Practice Address - Street 1:777 37TH ST
Practice Address - Street 2:SUITE C-107
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4873
Practice Address - Country:US
Practice Address - Phone:772-562-3234
Practice Address - Fax:772-562-3236
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2010-09-28
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Provider Licenses
StateLicense IDTaxonomies
FLME74680207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
58979Medicare PIN
FLH39158Medicare UPIN
58979YMedicare PIN