MEDICARE: RICHARD STADULIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS35383	FL

General Provider Information

NPI Number	:	1215523733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD STADULIS

Provider Business Mailing Address
First Line	:	7985 AIRPORT RD N
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-1749
Country	:	US
Telephone Number	:	239-249-9139
Fax Number	:

Provider Business Practice Location Address
First Line	:	13400 S CLEVELAND AVE
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3833
Country	:	US
Telephone Number	:	239-489-3338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2020
Last Update Date	:	02/12/2026

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Directions to “ RICHARD STADULIS ” Practice Location

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