MEDICARE: DR. DORIS KATHERINE RAMIREZ NESSETTI MD

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	207VG0400X	Gynecology Physician	ME101123	FL
2	207V00000X	Obstetrics & Gynecology Physician	ME101123	FL

General Provider Information

NPI Number	:	1245409655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DORIS KATHERINE RAMIREZ NESSETTI MD

Provider Business Mailing Address
First Line	:	5860 RANCH LAKE BLVD
Second Line	:	SUITE 200
City	:	BRADENTON
State	:	FL
Zip	:	34202-3708
Country	:	US
Telephone Number	:	941-388-8997
Fax Number	:	941-306-5876

Provider Business Practice Location Address
First Line	:	5860 RANCH LAKE BLVD
Second Line	:	SUITE 200
City	:	BRADENTON
State	:	FL
Zip	:	34202-3708
Country	:	US
Telephone Number	:	941-388-8997
Fax Number	:	941-306-5876

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/29/2008
Last Update Date	:	11/17/2020

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