Individual
DR. MARK EDMUND PESSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME94760
FL
2086S0127X
Trauma Surgery Physician
Primary
ME94760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274458900
—
FL
01
—
31607X
MEDICARE HFPSI
FL
01
—
31607Y
MEDICARE
FL
Enumeration date
05/24/2005
Last updated
11/15/2023
Update your record
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