Individual
DR. DREW PRESCOTT FESSENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4006 S TAMIAMI TRL, SARASOTA, FL 34231-3624
(941) 924-2337
Mailing address
4006 S TAMIAMI TRL, SARASOTA, FL 34231-3624
(941) 924-2337
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3541
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E79432
PTAN
FL
Enumeration date
03/14/2007
Last updated
06/29/2010
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