Individual
MS. CARRIE JO PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 343-2837
(239) 343-3164
Mailing address
688 VERONA CT, WESTON, FL 33326-3544
(615) 371-5744
(615) 246-3939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS11243
FL
208M00000X
Hospitalist Physician
Primary
OS11243
FL
Other
Enumeration date
03/17/2009
Last updated
05/03/2017
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