RICHARD EDWIN PRATLEY (NPI# 1194837476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194837476 |
| Entity Type | Individual |
| Full Name | RICHARD EDWIN PRATLEY |
| Credential | MD |
| Practice Address |
2415 N Orange Ave Suite 502 Orlando FL 32804 |
| Mailing Address |
2415 N Orange Ave Suite 502 Orlando FL 32804-5505 |
| Practice Telephone | 4073032801 |
| Practice Fax Number | 4073032805 |
| Mailing Telephone | 4073032801 |
| Mailing Fax Number | 4073032805 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
ME110521 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
ME110521 | FL | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
042-0010757 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004133800 | 05 | |
| NY | 02554814 | 05 | |
| VT | 1010563 | 05 |
| Street Address |
2415 N ORANGE AVE SUITE 502 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401331 | Nirav Y. Raval | Internal Medicine | 2415 N Orange Ave, Suite 600, Orlando, FL 32804-5505 | 2005-07-19 |
| 1356875819 | Damian Korsich | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave, Suite 400, Orlando, FL 32804-5505 | 2017-04-11 |
| 1710342803 | Jeffrey T Johnson | Nurse Practitioner | 2415 N Orange Ave, Suite 700, Orlando, FL 32804-5505 | 2015-12-16 |
| 1265817431 | Daniel Figueroa Tentori | Surgery | 2415 N Orange Ave, Suite 400, Orlando, FL 32804-5505 | 2015-07-29 |
| 1942605027 | Sarah Souverain | Nurse Practitioner | 2415 N Orange Ave, Suite 502, Orlando, FL 32804-5505 | 2014-10-30 |
| 1477957934 | Elidalis R Burgos | Nurse Practitioner | 2415 N Orange Ave, 700, Orlando, FL 32804-5505 | 2014-10-13 |
| 1932520111 | Amber Nicole Brennan | Nurse Practitioner | 2415 N Orange Ave, Suite 700, Orlando, FL 32804-5505 | 2013-12-14 |
| 1346529716 | Jeffrey Chiu | Surgery | 2415 N Orange Ave, Suite 400, Orlando, FL 32804-5505 | 2011-08-16 |
| 1043507825 | Hea Lyoung Lee | Nurse Practitioner | 2415 N Orange Ave, 700, Orlando, FL 32804-5505 | 2011-06-30 |
| 1134446313 | Frances K Smith | Dietitian, Registered | 2415 N Orange Ave, Suite # 700, Orlando, FL 32804-4603 | 2010-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1598741928 | Hemant Prabhudas Painter | Internal Medicine | 7232 W Sand Lake Rd Ste 102, Orlando, FL 32819-5253 | 2005-12-18 |
| 1336566280 | Miguel Montoya Md Clinic Pa | Internal Medicine | 672 N Semoran Blvd, Suite 203, Orlando, FL 32807-3350 | 2014-03-27 |
| 1306176078 | American General Care Associates Inc | Internal Medicine | 7232 W Sand Lake Rd Ste 102, Orlando, FL 32819-5253 | 2010-01-01 |
| 1871767921 | Central Florida Convenient Care Plc | Internal Medicine | 5151 Tarragona Dr, Orlando, FL 32837-8721 | 2008-04-19 |
| 1114070570 | Juan Jose Gonzalez | Internal Medicine | 1834 N Alafaya Trl, Suite A, Orlando, FL 32826-4743 | 2007-01-19 |
| 1194895243 | Tanveer P Mir | Internal Medicine | 2501 N Orange Ave, Suite 235, Orlando, FL 32804-4603 | 2006-11-08 |
| 1538278643 | Namita Arya | Internal Medicine | 5201 Raymond Street, Orlando Va Healthcare Center, Orlando, FL 32835 | 2006-08-30 |
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| 1659891018 | Pocketdoc Physicians Pa | Internal Medicine | 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 | 2017-06-26 |
| 1003349549 | On Call Wound Care LLC | Internal Medicine | 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414-4768 | 2017-04-11 |
| 1154781284 | Verimed Health Group Land O' Lakes, LLC | Internal Medicine | 2638 Narnia Way, Ste 101, Land O Lakes, FL 34638-7231 | 2016-03-02 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1881083020 | Arnold Jay Simon, M.d. | Internal Medicine | 3175 S Congress Ave Ste 305, Palm Springs, FL 33461-2562 | 2015-01-12 |
| 1912300575 | Geriatrics and Hospitalists Associates | Internal Medicine | 3255 Cypress Legends Cir Apt 433, Fort Myers, FL 33905-5516 | 2014-09-26 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.