Individual
WESLEY A DUERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8745 N WICKHAM RD, MELBOURNE, FL 32940-5997
(321) 434-1771
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME169384
FL
208M00000X
Hospitalist Physician
Primary
ME169384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123148400
—
FL
01
—
TE207
MEDICARE HF
FL
Enumeration date
05/08/2019
Last updated
07/30/2024
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