Individual
DR. DOMENICK J SORRESSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7614 JACQUE RD STE C, HUDSON, FL 34667-7195
(727) 857-5967
(727) 857-5972
Mailing address
7614 JACQUE RD STE C, HUDSON, FL 34667-7195
(727) 857-5967
(727) 857-5972
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
ME77399
FL
207RP1001X
Pulmonary Disease Physician
Primary
MR77399
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257232000
—
FL
01
—
46527
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/29/2005
Last updated
04/01/2021
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