Prather, William Russell

Prather, William Russell is an individual health care provider with primary practice located at 1033 Mlk St Ste. 108, St Petersburg FL 33701-1547. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Prather, William Russell can be contacted via phone (727) 456-4250.

Contact Information

Primary practice address
1033 Mlk St Ste. 108 St Petersburg FL 33701-1547
Phone: (727) 456-4250
Fax: (727) 346-1044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME82181 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME82181 Florida

Profile Details

NPI number 1790894566
LBN Legal business name Prather, William Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Apr 22nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790894566 NPPES
Florida MEDICAID 261533900

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