Individual
LOUIS A WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6101 PINE RIDGE RD, 1ST FLOOR DESK 12/13, NAPLES, FL 34119-3900
(239) 263-0849
(239) 263-2376
Mailing address
6101 PINE RIDGE RD, 1ST FLOOR DESK 12/13, NAPLES, FL 34119-3900
(239) 263-0849
(239) 263-2376
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME115722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14XV6
BCBS
FL
Enumeration date
09/27/2005
Last updated
04/26/2016
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