Bresson, Stephen Lee Edward

Bresson, Stephen Lee Edward is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bresson, Stephen Lee Edward can be contacted via phone (904) 697-3600.

Contact Information

Primary practice address
807 Childrens Way Jacksonville FL 32207-8426
Phone: (904) 697-3600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 52861 Tennessee
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME136947 Florida
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X C1-0012738 Delaware

Profile Details

NPI number 1144457789
LBN Legal business name Bresson, Stephen Lee Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated Oct 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144457789 NPPES
Tennessee MEDICAID 1534531
Tennessee MEDICAID 100228500
Tennessee MEDICAID 003160798C

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