Roger E Bassin, M.D.
Plastic Surgery in Viera, FL. Individual provider (NPI-1).
NPI number1821121237
StatusActive
Last updated in NPPESJul 17, 2024
Details
- NPI
- 1821121237
- Entity type
- Individual (NPI-1)
- Name
- Roger E Bassin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2007
- Certification date
- Jul 17, 2024
- Last updated
- Jul 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | ME85585 | FL | Yes |
| 207W00000X | Ophthalmology | ME85585 | FL | |
| 2082S0099X | Plastic Surgery, Plastic Surgery Within the Head and Neck | ME85585 | FL | |
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | ME85585 | FL |
Practice location
1705 Berglund LnSuite 103
Viera, FL 32940-6231
Phone 321-255-0025 · Fax 321-255-0027
Mailing address
1705 Berglund LnSuite 103
Viera, FL 32940-6231
Phone 321-255-0025 · Fax 321-255-0027
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