Pezzi, Todd A

Pezzi, Todd A is an individual health care provider with primary practice located at 25243 Elementary Way , Bonita Springs FL 34135-7898. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Pezzi, Todd A can be contacted via phone (239) 317-2772.

Contact Information

Primary practice address
25243 Elementary Way Bonita Springs FL 34135-7898
Fax: (239) 676-7637
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME153410 Florida

Profile Details

NPI number 1336674431
LBN Legal business name Pezzi, Todd A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2017
Last updated Jul 20th, 2022 - about 2 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 1336674431 NPPES
Florida MEDICAID 114722000
Florida Other A2YX3
Florida Other PJ770

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