Individual
ANNE H BERESSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1270 N WICKHAM RD STE 50, MELBOURNE, FL 32935-8939
(321) 421-7588
(321) 421-7590
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4127
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
015919
ME
208000000X
Pediatrics Physician
Primary
ME100384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022383300
—
FL
05
—
265790000
—
ME
Enumeration date
11/01/2006
Last updated
03/17/2018
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