Individual
WILLIAM BRAESKE DREYER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1715 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952-7520
(772) 337-2020
(772) 337-1704
Mailing address
2101 SW RACQUET CLUB DR, PALM CITY, FL 34990-2303
(772) 286-6880
(772) 382-6284
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 35786
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039720200
—
FL
01
—
180010527
RAILROAD MEDICARE
—
Enumeration date
12/10/2009
Last updated
02/02/2010
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