Individual
DR. JEFFREY R WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
206 2ND ST E, BRADENTON, FL 34208-1042
(941) 955-4101
Mailing address
8374 MARKET ST, BOX 502, LAKEWOOD RANCH, FL 34202-5137
(941) 955-4101
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS8900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267671100
—
FL
Enumeration date
05/24/2006
Last updated
05/26/2010
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