Individual
STEPHEN LEE EDWARD BRESSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
Mailing address
10140 CENTURION PKWY N FL PROVIDER, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
C1-0012738
DE
2085R0202X
Diagnostic Radiology Physician
52861
TN
2085R0202X
Diagnostic Radiology Physician
Primary
ME136947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003160798C
—
GA
05
—
100228500
—
FL
05
—
1534531
—
TN
Enumeration date
06/22/2009
Last updated
10/18/2022
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