Individual
NADIE C. GRESSINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
(407) 849-6470
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME100177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001111100
—
FL
01
—
145MZ
BCBS
FL
01
—
NS531
MEDICARE PTAN OHRI
FL
01
—
PT353
MEDICARE PTAN OHMG
FL
Enumeration date
07/11/2006
Last updated
03/27/2023
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