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Organization
A. RISCHARD PESCITELLI, M.D., INC.
Active
Organization
A. RISCHARD PESCITELLI, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT RICHARD PESCITELLI M.D. (OWNER)
(239) 939-1999
Entity
Organization
Contact information
Practice address
33 BARKLEY CIR, SUITE A, FORT MYERS, FL 33907-7532
(239) 939-1999
(239) 939-4935
Mailing address
33 BARKLEY CIR, SUITE A, FORT MYERS, FL 33907-7532
(239) 939-1999
(239) 939-4935
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP3194502
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12095
BLUE CROSS BLUE SHIEL
FL
Enumeration date
07/19/2007
Last updated
07/19/2007
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