Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | ME135400 | FL |
NPI | 1356736607 |
---|---|
Provider Name | Michael Dressing |
First Address | Miramar, FL 33025-3925 |
Second Address | Hollywood, FL 33021-5488 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2015 |
Last Update Date | 16/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100058100 | (05) | FL |