L DAVID RICHARDS JR OPTOMETRIC PHYSICIAN
Optometry at Congress Ave, Boynton Beach, FL

License number
Florida OPC1247
Category
Optometry
Type
Optometrist
Owner
Name: TERESA DAVIS
Title: OFFICE MANAGER
Phone: (561) 742-1944
Address
Address
2300 S Congress Ave STE 102, Boynton Beach, FL 33426
National Provider ID: 1548435167
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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L. DAVID RICHARDS, JR., OPTOMETRIC PHYSICIAN, PA

2300 S Congress Ave SUITE 102, Boynton Beach, FL 33426

Status:
Inactive
Inactive reason:
Cancel Adm Diss/rev
Registration:
Feb 28, 2000
Inactive since:
Aug 8, 2005
State ID:
P00000020371
Business type:
Florida Profit Corporation
Directors:
L. David O D Richards, 2300 S Congress Ave SUITE 102, Boynton Beach, FL 33426 (Physical),L. David J Richards (Director)
Agent:
L. David Richards,2300 S Congress Ave SUITE 102, Boynton Beach, FL 33426 (Physical)
EIN:
650987273

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