Visser, Gary

Visser, Gary is an individual health care provider with primary practice located at 2940 Maguire Rd Ste 200 , Ocoee FL 34761-4751. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Visser, Gary can be contacted via phone (407) 581-9065.

Contact Information

Primary practice address
2940 Maguire Rd Ste 200 Ocoee FL 34761-4751
Phone: (407) 581-9065
Fax: (321) 348-5827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME105459 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME105459 Florida

Profile Details

NPI number 1710170568
LBN Legal business name Visser, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2007
Last updated Apr 5th, 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 1710170568 NPPES
Florida Other O5086 HF MEDICARE

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