Organization
RICHARD PREWITT MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MACGUIRE PREWITT M.D.,FRCP(C)PA (DIRECTOR)
(239) 262-4511
Entity
Organization
Contact information
Practice address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(239) 262-4511
(239) 262-4406
Mailing address
6101 PINE RIDGE RD, NAPLES, FL 34119-3900
(239) 262-4511
(239) 262-4406
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA6511
RAILROAD MEDICARE
FL
Enumeration date
09/14/2007
Last updated
10/17/2012
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