Pratley, Richard Edwin

Pratley, Richard Edwin is an individual health care provider with primary practice located at 2415 N Orange Ave Suite 502, Orlando FL 32804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Pratley, Richard Edwin can be contacted via phone (407) 303-2801.

Contact Information

Primary practice address
2415 N Orange Ave Suite 502 Orlando FL 32804
Phone: (407) 303-2801
Fax: (407) 303-2805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 042-0010757 Vermont
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME110521 Florida
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME110521 Florida

Profile Details

NPI number 1194837476
LBN Legal business name Pratley, Richard Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 10th, 2021 - about 3 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 1194837476 NPPES
Vermont MEDICAID 1010563
Vermont MEDICAID 004133800
Vermont MEDICAID 02554814

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