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Individual

DR. ALBERT RICHARD PESCITELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7890 SUMMERLIN LAKES DR, SUITE #3, FORT MYERS, FL 33907-1851
(239) 939-1999
(239) 939-4935
Mailing address
7890 SUMMERLIN LAKES DR, SUITE #3, FORT MYERS, FL 33907-1851
(239) 939-1999
(239) 939-4935

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0059299
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008470600
FL
05
052728900
FL
Enumeration date
09/14/2005
Last updated
08/30/2013
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