MEDICARE: ROLAND F. BESSIS, PHD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	PY0005053	FL

General Provider Information

NPI Number	:	1225000151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROLAND F. BESSIS, PHD PA

Provider Business Mailing Address
First Line	:	939 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-1605
Country	:	US
Telephone Number	:	954-926-7486
Fax Number	:	954-926-5804

Provider Business Practice Location Address
First Line	:	3400 CORAL WAY
Second Line	:	SUITE 601
City	:	MIAMI
State	:	FL
Zip	:	33145-3070
Country	:	US
Telephone Number	:	305-538-5811
Fax Number	:	954-926-5804

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROLAND F. BESSIS
Credential	:	PH.D.
Telephone Number	:	954-926-7486

Provider Enumeration Date	:	02/04/2006
Last Update Date	:	10/20/2010

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