Organization
A. RICHARD PESCITELLI, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNE CLYATT ARNP (OFFICE ADMINISTRATOR)
(239) 768-6008
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
174400000X
Specialist
Primary
59299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052728900
—
FL
01
—
10D0900367
CLIA
FL
01
—
59299
ME
FL
01
—
E61540
UPIN
FL
Enumeration date
07/13/2009
Last updated
03/07/2023
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