Basic Information
| Provider Information | |||||||||
| NPI: | 1508172735 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DAVID M DRESDNER MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1099 5TH AVE N | ||||||||
| Address2: | 120 | ||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337051469 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7278207714 | ||||||||
| FaxNumber: | 7278207755 | ||||||||
| Practice Location | |||||||||
| Address1: | 1099 5TH AVE N | ||||||||
| Address2: | 120 | ||||||||
| City: | ST PETERSBURG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337051469 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7278207714 | ||||||||
| FaxNumber: | 7278207755 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2010 | ||||||||
| LastUpdateDate: | 08/25/2010 | ||||||||
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| AuthorizedOfficialLastName: | DRESDNER | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | MARK | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7278207714 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RX0202X | ME34572 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
No ID Information.