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Individual

RICHARD EDWIN PRATLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2415 N ORANGE AVE, SUITE 502, ORLANDO, FL 32804
(407) 303-2801
(407) 303-2805
Mailing address
2415 N ORANGE AVE, SUITE 502, ORLANDO, FL 32804-5505
(407) 303-2801
(407) 303-2805

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME110521
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
042-0010757
VT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME110521
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004133800
FL
05
02554814
NY
05
1010563
VT
Enumeration date
08/31/2006
Last updated
03/10/2021
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