Individual
DAVID VERMESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 PHILLIPS RD, TALLAHASSEE, FL 32308-5304
(850) 878-4127
Mailing address
PO BOX 1678, TALLAHASSEE, FL 32302-1678
(844) 821-8137
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME103628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003156103A
GA MEDICAID
GA
05
—
005928800
—
FL
01
—
14L6J
BCBS OF FLORIDA
FL
01
—
P01070229
RR MEDICARE
FL
Enumeration date
08/14/2007
Last updated
10/01/2015
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