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ADAM CERISSI MD
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1114488384
Individual Registrant: ADAM CERISSI MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1526 DINGENS AVE WINDERMERE, FL 34786-8000 US
Tel: 407-802-9958 Fax: --
Tel: 407-802-9958 Fax: --
Contact information for business:
1526 DINGENS AVE WINDERMERE, FL 34786-8000 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1114488384
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
