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Individual

RICHARD PRAGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8950 SW 57TH AVE, PINECREST, FL 33156-2133
(305) 322-4116
(305) 666-2252
Mailing address
8950 SW 57TH AVE, PINECREST, FL 33156-2133
(305) 322-4116
(305) 666-2252

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME45897
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200355
AVMED
FL
05
372492100
FL
01
39129
NHP
FL
01
4631617
AETNA
FL
01
96846
BCBS FL
FL
01
NE990
WELLCARE
FL
01
P00028793
RAILROAD MEDICARE
FL
Enumeration date
10/12/2005
Last updated
06/25/2019
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