Doctor Name: | HUBERT H VESSER |
NPI Number: | 1669527149 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 17539 |
Business Practice Address: | 3261 Us Hwy 27 441 Suite A 1 Fruitland Park, FL - 34731 |
Business Phone Number: | 3523651191 |
Business Fax Number: | 3523650330 |
Mailing Address: | 3261 Us Hwy 27 441, Suite A 1 FRUITLAND PARK |
State: | FL |
Postal Code: | 34731 |
Phone Number: | 3523651191 |
Fax Number: | 3523650330 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 11/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 17539 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |