Male or Other

Dr. Venkat L. Prasad M.D.MBA/MHA

Family Medicine Physician in Fort Myers, FL(View on Map)

Full Name

Dr. Venkat L Prasad M.D.MBA/MHA

NPI Number

1700847969

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/29/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida
North Carolina

License Number

ME133342
009801451

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2147
9800 S HEALTHPARK DR STE 350

City

Fort Myers
Fort Myers

State

FL
FL

Postal Code

33902-2147
33908-3630

Country

US
US

Telephone Number

(239) 424-2757
(239) 343-6008

Identifiers

Identifier

891171T
021626800

Identifier State

NC
FL

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/03/2023

Provider Address

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