Individual
TODD A PEZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25243 ELEMENTARY WAY, BONITA SPRINGS, FL 34135-7898
(239) 317-2772
(239) 676-7637
Mailing address
1860 BOY SCOUT DR STE 201, FORT MYERS, FL 33907-2119
(239) 215-1180
(239) 215-1179
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME153410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114722000
—
FL
01
—
A2YX3
FL BLUE
FL
01
—
PJ770
MEDICARE
—
Enumeration date
04/26/2017
Last updated
07/20/2022
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