Healthcare Provider Details

I. General information

NPI: 1790877579
Provider Name (Legal Business Name): RHONDA M. KESSLER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RHONDA BROTMAN

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 11/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16114 WATERLEAF LN
FORT MYERS FL
33908-3120
US

IV. Provider business mailing address

16114 WATERLEAF LN
FORT MYERS FL
33908-3120
US

V. Phone/Fax

Practice location:
  • Phone: 239-689-3934
  • Fax: 239-689-3934
Mailing address:
  • Phone: 239-689-3934
  • Fax: 239-689-3934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License NumberME32447
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: