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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

NPI # 1588849780
LBN Legal business name ROGER E BASSIN MD PA
Authorized official ROGER BASSIN - (OWNER/OPERATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/07/2008
Last updated 07/17/2024 - More than a year ago
Identifiers
FL License # ME85585
FL Other AH792 MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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