Individual
DR. RICHARD J PRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
63 BARKLEY CIR, STE. 100 & 101, FORT MYERS, FL 33907-4514
(239) 938-3500
(239) 278-0588
Mailing address
8791 CONFERENCE DR, SUITE 1, FORT MYERS, FL 33919-5822
(239) 938-3506
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0050452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07379
BCBS OF FLORIDA
FL
05
—
O36321900
—
FL
01
—
P00318900
RR MEDICARE FRL
FL
Enumeration date
05/22/2006
Last updated
04/09/2014
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