# A. RISCHARD PESCITELLI, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184824161
- **Authorized official:** DR. ALBERT RICHARD PESCITELLI M.D. (OWNER)
- **Authorized official phone:** (239) 939-1999

## Contact information

- **Practice address:** 33 BARKLEY CIR, SUITE A, FORT MYERS, FL 33907-7532
- **Practice address phone:** (239) 939-1999
- **Practice address fax:** (239) 939-4935
- **Mailing address:** 33 BARKLEY CIR, SUITE A, FORT MYERS, FL 33907-7532
- **Mailing address phone:** (239) 939-1999
- **Mailing address fax:** (239) 939-4935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | ARNP3194502 | GA | Yes |

## Other

- **Enumeration date:** 07/19/2007
- **Last updated:** 07/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12095 | BLUE CROSS BLUE SHIEL | FL |
