Provider Demographics
NPI:1629069570
Name:DESSAUER, FRANK MICHAEL (PA-C)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:MICHAEL
Last Name:DESSAUER
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:4316 BUCKHORN GROVES CT
Mailing Address - Street 2:
Mailing Address - City:VALRICO
Mailing Address - State:FL
Mailing Address - Zip Code:33594-5951
Mailing Address - Country:US
Mailing Address - Phone:813-827-9759
Mailing Address - Fax:813-827-9797
Practice Address - Street 1:220 GRAND REGENCY BLVD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-3935
Practice Address - Country:US
Practice Address - Phone:813-827-9759
Practice Address - Fax:813-827-9797
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical