Healthcare Provider Details

I. General information

NPI: 1245409655
Provider Name (Legal Business Name): DORIS KATHERINE RAMIREZ NESSETTI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/29/2008
Last Update Date: 11/17/2020
Certification Date: 11/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5860 RANCH LAKE BLVD SUITE 200
BRADENTON FL
34202-3708
US

IV. Provider business mailing address

5860 RANCH LAKE BLVD SUITE 200
BRADENTON FL
34202-3708
US

V. Phone/Fax

Practice location:
  • Phone: 941-388-8997
  • Fax: 941-306-5876
Mailing address:
  • Phone: 941-388-8997
  • Fax: 941-306-5876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME101123
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME101123
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: