Individual
DR. DENNIS PETER SORRESSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 465-3183
(904) 264-3761
Mailing address
1375 SOUTHSHORE DR, ORANGE PARK, FL 32003-7014
(904) 465-3183
(904) 264-3761
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
ME80561
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
ME0080561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263187300
—
FL
Enumeration date
05/18/2006
Last updated
10/06/2010
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