Individual
MR. RICHARD D ORNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
9400 GLADIOLUS DR, SUITE 250, FORT MYERS, FL 33908-6699
(239) 939-9939
(239) 931-5060
Mailing address
7152 COCA SABAL LN, FORT MYERS, FL 33908-4263
(239) 939-9939
(239) 931-5060
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9101318
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291197300
—
FL
01
—
P00301180
RR MEDICARE
FL
01
—
Y06C9
BCBS FL
FL
Enumeration date
08/22/2005
Last updated
06/01/2015
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