Individual
JOHN P FEZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1370 E VENICE AVE STE 205, VENICE, FL 34285-9084
(941) 488-2020
Mailing address
1360 E VENICE AVE, VENICE, FL 34285-9066
(941) 488-2020
(941) 484-2200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME76288
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
ME76288
FL
Other
Enumeration date
09/27/2006
Last updated
11/27/2023
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