Provider Demographics
NPI:1669487393
Name:CRESSMAN, JOANNE (MD)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:CRESSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 2ND AVE S
Mailing Address - Street 2:SUITE 340
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4001
Mailing Address - Country:US
Mailing Address - Phone:727-896-3134
Mailing Address - Fax:727-827-5155
Practice Address - Street 1:1200 7TH AVENUE NORTH
Practice Address - Street 2:SUITE 340
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1300
Practice Address - Country:US
Practice Address - Phone:727-825-1100
Practice Address - Fax:727-827-5155
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME665042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL25876OtherBLUE CROSS BLUE SHIELD
FL376034100Medicaid
FLF36599Medicare UPIN
FL25876XMedicare ID - Type Unspecified