Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark P. Richard, NP

Individual provider Nurse Practitioner · NPI 1053378646

Mark P. Richard, NP is a Nurse Practitioner in Port Charlotte, Florida. Qualified in 2000, 26 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Massachusetts.

Years since qualifying
26
Licensed in
FL, MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2450 Tamiami Trl Ste A
Port Charlotte, FL 33952-3922
Phone: (941) 624-2704
Fax: (941) 627-6066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11012723 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 190702 (MA)

Record details

NPI number1053378646
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESApril 1, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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