MEDICARE: RICHARD PRAGER MD

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	207RP1001X	Pulmonary Disease Physician	ME45897	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00028793	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	NE990	OTHER	FL	WELLCARE
3	39129	OTHER	FL	NHP
4	4631617	OTHER	FL	AETNA
6	200355	OTHER	FL	AVMED
7	96846	OTHER	FL	BCBS FL
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235127499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD PRAGER MD

Provider Business Mailing Address
First Line	:	8950 SW 57TH AVE
Second Line	:
City	:	PINECREST
State	:	FL
Zip	:	33156-2133
Country	:	US
Telephone Number	:	305-322-4116
Fax Number	:	305-666-2252

Provider Business Practice Location Address
First Line	:	8950 SW 57TH AVE
Second Line	:
City	:	PINECREST
State	:	FL
Zip	:	33156-2133
Country	:	US
Telephone Number	:	305-322-4116
Fax Number	:	305-666-2252

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	06/25/2019

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Directions to “ RICHARD PRAGER MD” Practice Location

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