Individual
DR. JOHN J DUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2780 CLEVELAND AVE STE 811, FORT MYERS, FL 33901-5817
(239) 343-3800
(239) 343-3993
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-3800
(239) 343-3993
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME44442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068856800
—
FL
01
—
ME44442
MEDICAL LICENSE
FL
Enumeration date
02/28/2006
Last updated
03/20/2024
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