Individual
PRATHIMA MOORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4760 TAMIAMI TRAIL NORTH, SUITE 27, NAPLES, FL 34109-3884
(239) 593-9594
(239) 593-4099
Mailing address
4760 TAMIAMI TRAIL N, SUITE 27, NAPLES, FL 34103
(239) 593-9594
(239) 593-4099
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME056744
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME056744
MEDICAL LICENSE
FL
Enumeration date
08/20/2006
Last updated
09/12/2016
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