Individual
WILLIAM BRESNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
608 SE 6TH ST, FT LAUDERDALE, FL 33301-3418
(877) 563-3374
Mailing address
PO BOX 450381, SUNRISE, FL 33345-0381
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650272595
TAX ID
FL
Enumeration date
03/27/2008
Last updated
05/08/2017
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