# DR. MARK EDMUND PESSA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174526958
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | ME94760 | FL | — |
| 2086S0127X | Trauma Surgery Physician | ME94760 | FL | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 11/15/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 274458900 | — | FL |
| 01 | — | 31607X | MEDICARE HFPSI | FL |
| 01 | — | 31607Y | MEDICARE | FL |