| Daniel H Gessesse Md Pa | |
|
379 6th Ave W Bradenton FL 34205-8820 | |
| (727) 831-3134 | |
| Not Available |
| Full Name | Daniel H Gessesse Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 379 6th Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Daniel H Gessesse (OWNER) |
| Authorized Official Contact | 7278313134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel H Gessesse Md Pa 8411 Southbridge Dr Apt 2 Fort Myers FL 33967-0500 Ph: (727) 831-3134 | Daniel H Gessesse Md Pa 379 6th Ave W Bradenton FL 34205-8820 Ph: (727) 831-3134 |
| NPI Number | 1932546330 |
|---|---|
| Provider Enumeration Date | 05/28/2013 |
| Last Update Date | 05/28/2013 |
| Medicare PECOS PAC ID | 9032332879 |
|---|---|
| Medicare Enrollment ID | O20140522001787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932546330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Daniel H Gessesse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417112293 PECOS PAC ID: 2961643416 Enrollment ID: I20130725000142 |
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