Healthcare Provider Details

I. General information

NPI: 1720526957
Provider Name (Legal Business Name): SAMUEL DRESNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2017
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 W PALMETTO PARK RD
BOCA RATON FL
33432-3828
US

IV. Provider business mailing address

120 W PALMETTO PARK RD
BOCA RATON FL
33432-3828
US

V. Phone/Fax

Practice location:
  • Phone: 561-395-7616
  • Fax: 561-395-1399
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME149334
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: