Organization
A. RISCHARD PESCITELLI, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT RICHARD PESCITELLI M.D. (OWNER)
(239) 939-1999
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
367A00000X
Advanced Practice Midwife
Primary
ARNP3194502
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12095
BLUE CROSS BLUE SHIEL
FL
Enumeration date
07/19/2007
Last updated
07/19/2007
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