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Contact Information

ROGER E BASSIN MD PA
1705 BERGLUND LN
SUITE 103
VIERA, FL32940-6231
 Phone: 321-255-0025
 Fax: 321-255-0027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROGER E BASSIN MD PA · (Female)

NPI # 1588849780
Status Active
Credentials
Entity Individual
Enumeration date 01/07/2008
Last updated 07/17/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME85585
  • FL Other AH792 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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