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Contact Information

A. RICHARD PESCITELLI, MD, PA
33 BARKLEY CIR
SUITE A
FORT MYERS, FL33907-7532
 Phone: 239-939-1999
 Fax: 239-939-4935
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for A. RICHARD PESCITELLI, MD, PA

NPI # 1164651113
LBN Legal business name A. RICHARD PESCITELLI, MD, PA
Authorized official LYNE CLYATT - (OFFICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/13/2009
Last updated 03/07/2023 - About 3 years ago
Identifiers
FL License # 59299
FL Medicaid 052728900
FL Other 10D0900367 CLIA
FL Other 59299 ME
FL Other E61540 UPIN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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