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Individual

BERNICE A PRITCHETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3701 AVALON PARK WEST BLVD STE 205, ORLANDO, FL 32828-7303
(407) 306-0982
(407) 384-7754
Mailing address
3701 AVALON PARK WEST BLVD STE 205, ORLANDO, FL 32828-7303
(407) 306-0982
(407) 384-7754

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35083607
OH
207Q00000X
Family Medicine Physician
4301095245
MI
207Q00000X
Family Medicine Physician
Primary
ME125703
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700847449
MI
05
2531906
OH
01
PR2028241
MEDICARE
OH
Enumeration date
03/31/2006
Last updated
01/06/2016
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