Individual
DR. VANESSA JOANN OHLEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8745 N WICKHAM RD, MELBOURNE, FL 32940
(321) 434-9358
(321) 434-9521
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS13622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022387400
—
FL
01
—
JE533Y
MEDICARE
FL
Enumeration date
06/24/2011
Last updated
04/10/2019
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