Provider Demographics
NPI:1184880502
Name:DRESDEN, GARY A (MD)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:A
Last Name:DRESDEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2106 DREW ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3238
Mailing Address - Country:US
Mailing Address - Phone:727-442-0445
Mailing Address - Fax:727-447-3797
Practice Address - Street 1:2106 DREW ST
Practice Address - Street 2:SUITE 103
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3238
Practice Address - Country:US
Practice Address - Phone:727-442-0445
Practice Address - Fax:727-447-3797
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
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Provider Licenses
StateLicense IDTaxonomies
FLME15816207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD56271Medicare UPIN