Individual
DR. STEPHEN ROSS DREZNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2668
(239) 424-3123
(239) 424-4041
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-3123
(239) 424-4041
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
168449-1
NY
208M00000X
Hospitalist Physician
036132060
IL
208M00000X
Hospitalist Physician
Primary
ME147800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420240
—
NY
01
—
036132060
STATE LICENSE
IL
05
—
109142700
—
FL
01
—
390006590
RAILROAD MEDICARE
NY
Enumeration date
01/05/2006
Last updated
04/08/2026
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