Individual
SAMUEL R PESIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
781 CRANDON BLVD APT 1103, KEY BISCAYNE, FL 33149-2546
(419) 351-9859
Mailing address
781 CRANDON BLVD APT 1103, KEY BISCAYNE, FL 33149-2546
(419) 351-9859
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME122753
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME122753
OH
Other
Enumeration date
02/22/2006
Last updated
07/16/2024
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