Dr. Elliott Richelson M.D.
Psychiatry Physician in Jacksonville Beach, FL(View on Map)
Full Name
Dr. Elliott Richelson M.D.
NPI Number
1124018056
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/22/2005
Specialties
(Taxonomies)Licenses
State
California
Florida
Massachusetts
New Hampshire
New Jersey
North Carolina
Tennessee
Wisconsin
License Number
G170998
117284
285944
EL10717
25MA10930300
264936
61847
74291-20
Contact
Information
Purpose
Mailing
Location
Address
1300 MARSH LANDING PKWY STE 112
1300 MARSH LANDING PKWY STE 112
City
Jacksonville Beach
Jacksonville Beach
State
FL
FL
Postal Code
32250-2407
32250-2407
Country
US
US
Telephone Number
(904) 456-0002
(904) 456-0002
Identifiers
Identifier
700006036
09949
Identifier State
FL
FL
Identifier Issuer
RAILROAD MEDICARE
BLUECROSS/BLUESHIELD
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/01/2022
Provider Address
Other Psychiatry Physicians in Jacksonville Beach, Florida:
Anneline Kingsley M.D.
Jacksonville Beach, FLSpecialties: Psychiatry Physician (Primary)Geriatric Psychiatry Physician