Individual
BERNARD THOMAS DESPRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1925 MIZELL AVE, STE 104, WINTER PARK, FL 32792
(407) 657-4407
(407) 657-4669
Mailing address
1925 MIZELL AVE, STE 104, WINTER PARK, FL 32792
(407) 657-4407
(407) 657-4669
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OS0005626
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052247300
—
FL
Enumeration date
02/28/2006
Last updated
08/31/2010
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