Provider Demographics
NPI:1669619862
Name:DRESZER, RONI (MD)
Entity type:Individual
Prefix:DR
First Name:RONI
Middle Name:
Last Name:DRESZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 BISCAYNE BLVD STE 503
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3855
Mailing Address - Country:US
Mailing Address - Phone:305-974-1811
Mailing Address - Fax:
Practice Address - Street 1:3550 BISCAYNE BLVD STE 503
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3855
Practice Address - Country:US
Practice Address - Phone:305-974-1811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-11
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME103451208D00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice