| Ms Carrie Jo Prather, DO | |
|
2776 Cleveland Ave, Fort Myers, FL 33901-5864 | |
| (239) 343-2837 | |
| (239) 343-3164 |
| Full Name | Ms Carrie Jo Prather |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 2776 Cleveland Ave, Fort Myers, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518108844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | OS11243 (Florida) | Primary |
| 207R00000X | Internal Medicine | OS11243 (Florida) | Secondary |
| Entity Name | South Dade Medical Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770569956 PECOS PAC ID: 9335126796 Enrollment ID: O20040702000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carrie Jo Prather, DO 688 Verona Ct, Weston, FL 33326-3544 Ph: (615) 371-5744 | Ms Carrie Jo Prather, DO 2776 Cleveland Ave, Fort Myers, FL 33901-5864 Ph: (239) 343-2837 |
Dr. Sreedhar Gelli, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348 | |
Keshia Ferguson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8960 Colonial Center Dr Ste 302, Fort Myers, FL 33905 Phone: 239-343-9633 Fax: 239-343-4015 | |
Dr. Daniel Morales, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348 | |
Georgeta Macri, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348 | |
Andrew Lin, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966 Phone: 239-208-2212 Fax: 239-208-3994 | |
Abdulhakim Aghil, Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-424-2602 Fax: 239-424-4186 | |
Dr. Carlos Javier Collado-rivera, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6150 Medical Park Loop, Fort Myers, FL 33912 Phone: 239-722-3600 Fax: 239-772-3995 |