Organization
A.DESROSIERS III, M.D., CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTHUR DESROSIERS III M.D. (C.E.O.)
(305) 403-2922
Entity
Organization
Contact information
Practice address
6705 S RED RD, SUITE 516, SOUTH MIAMI, FL 33143-3622
(305) 403-2922
(305) 517-3130
Mailing address
6705 S RED RD, SUITE 516, SOUTH MIAMI, FL 33143-3622
(305) 403-2922
(305) 517-3130
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME110935
FL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
ME110935
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO3822
FL
363AS0400X
Surgical Physician Assistant
PA9108751
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005967100
—
FL
05
—
015464600
—
FL
01
—
14L2X
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/21/2016
Last updated
10/21/2016
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