Individual
DASSY MAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
775 MALABAR RD, MALABAR, FL 32950-3120
(321) 722-8435
(321) 722-8486
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME74007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254831300
—
FL
Enumeration date
04/12/2006
Last updated
07/18/2017
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