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Organization

ROGER E BASSIN MD PA

Active
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Organization

ROGER E BASSIN MD PA

Active
Other names
Bassin Center for Eyelid and Facial Plastic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
ROGER E BASSIN M.D. (OWNER/OPERATOR)
(321) 255-0025
Entity
Organization

Contact information

Practice address
1705 BERGLUND LN, SUITE 103, VIERA, FL 32940-6231
(321) 255-0025
(321) 255-0027
Mailing address
1705 BERGLUND LN, SUITE 103, VIERA, FL 32940-6231
(321) 255-0025
(321) 255-0027

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME85585
FL
208200000X
Plastic Surgery Physician
ME85585
FL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
ME85585
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
ME85585
FL

Other

Enumeration date
01/07/2008
Last updated
07/17/2024
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