Individual
MS. ELIZABETH C VASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 HICKORY ST, SUITE 101, MELBOURNE, FL 32901-3224
(321) 434-1401
(321) 434-1667
Mailing address
3466 N HARBOR CITY BLVD, MELBOURNE, FL 32935-5713
(321) 434-1982
(321) 434-1667
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME111472
FL
207Q00000X
Family Medicine Physician
P5310
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME111472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012365500
—
FL
01
—
ME111472
MEDICAL LICENSE
FL
01
—
P01413648
RR MEDICARE
FL
Enumeration date
05/16/2007
Last updated
09/08/2016
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