WILLIAM BRESNIHAN


Address: 608 Se 6th St, Ft Lauderdale, FL 33301-3418
Phone: 8775633374

WILLIAM BRESNIHAN (NPI# 1871765081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871765081
Entity Type Individual
Full Name WILLIAM BRESNIHAN
Practice Address 608 Se 6th St
Ft Lauderdale
FL 33301-3418
Mailing Address Po Box 450381
Sunrise
FL 33345-0381
Practice Telephone 8775633374
Enumeration Date 2008-03-27
Last Update Date 2017-05-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL TAX ID 650272595 01

Office Location

Street Address 608 SE 6TH ST
City FT LAUDERDALE
State FL
Zip Code 33301-3418

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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396822573 Susan O Simonton Physician Assistant 2500 E Las Olas Blvd, #1504, Ft Lauderdale, FL 33301-1508 2006-11-01
1265083976 Matthew Paul Williams Physician Assistant 1995 E Oakland Park Blvd Ste 250, Ft Lauderdale, FL 33306-1149 2019-09-24
1528456548 Florida Practitioners, LLC Physician Assistant 1995 E Oakland Park Blvd Ste 250, Ft Lauderdale, FL 33306-1149 2014-12-29
1003040932 1st Assist of South Florida LLC Physician Assistant 4725 N Federal Hwy, Ft Lauderdale, FL 33308-4603 2009-05-06
1194969923 Theresa Anne Eichinger Physician Assistant 1995 E Oakland Park Blvd Ste 250, Ft Lauderdale, FL 33306-1149 2009-04-23
1215129622 Luciano John Radi Physician Assistant 6550 N Federal Hwy, Ste 512, Ft Lauderdale, FL 33308-1404 2007-08-10
1033275854 Joseph E Campbell Physician Assistant 6550 N Federal Hwy, Suite 512, Ft Lauderdale, FL 33308-1404 2006-12-28
1194738641 Julio Beltran Physician Assistant 6550 N Federal Hwy, Suite 512, Ft Lauderdale, FL 33308-1404 2006-08-15
1871501981 Felix Armando Gonzalez-quevedo Physician Assistant 6550 N Federal Hwy, Suite 512, Ft Lauderdale, FL 33308-1404 2006-08-04
1992729685 John Tobias Gray Physician Assistant 1995 E Oakland Park Blvd, Suite 250, Ft Lauderdale, FL 33306-1147 2006-07-26
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City FT LAUDERDALE
Zip Code 33301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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