Mark Edmund Pessa M.D.

NPI 1174526958 - Surgery - 208600000X

NPI Details
NPI 1174526958
Gender Male
Enumeration Date 05/24/2005
Last Updated 05/23/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
MELBOURNE FL, 32901-3224, US
Phone (321) 434-1401
Fax (321) 434-1667
Business Location
PO BOX 561600
ROCKLEDGE FL, 32956-1600, US
Phone (321) 434-4600
Fax (321) 259-0635
Taxonomy Code 208600000X
License State Florida
License Number ME94760
Remove 1174526958 NPI Number

According to our database, Dr. Mark Edmund Pessa M.D. NPI is 1174526958, taxonomy code is 208600000X and license number is ME94760, license state is located at Florida. Mark Edmund Pessa M.D. physically located at 1350 S Hickory St, Melbourne FL, 32901-3224. NPI Number Mark Edmund Pessa M.D. has the Individual type.

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1174526958 NPI number is provided on an as is basis without warranty of any kind. 1174526958 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Edmund Pessa M.D. are for informational purposes only.