Healthcare Provider Details

I. General information

NPI: 1225000151
Provider Name (Legal Business Name): ROLAND F. BESSIS, PHD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2006
Last Update Date: 10/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 CORAL WAY SUITE 601
MIAMI FL
33145-3070
US

IV. Provider business mailing address

939 HOLLYWOOD BLVD
HOLLYWOOD FL
33019-1605
US

V. Phone/Fax

Practice location:
  • Phone: 305-538-5811
  • Fax: 954-926-5804
Mailing address:
  • Phone: 954-926-7486
  • Fax: 954-926-5804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPY0005053
License Number StateFL

VIII. Authorized Official

Name: DR. ROLAND F. BESSIS
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 954-926-7486