Individual
DENNIS RANDOLPH BASSETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 SUN N LAKE BLVD, SEBRING, FL 33872-1986
(863) 402-3402
(863) 402-3111
Mailing address
4200 SUN N LAKE BLVD, SEBRING, FL 33872-1986
(863) 402-3402
(863) 402-3111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME45746
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME45746
FL
207RP1001X
Pulmonary Disease Physician
ME45746
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28131
BCBS
FL
01
—
P00237448
RAILROAD MEDICARE
—
Enumeration date
06/07/2006
Last updated
03/30/2018
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