Mestrezat, William John

Mestrezat, William John is an individual health care provider with primary practice located at 1360 E Venice Ave , Venice FL 34285-9066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mestrezat, William John can be contacted via phone (941) 488-2020.

Contact Information

Primary practice address
1360 E Venice Ave Venice FL 34285-9066
Phone: (941) 488-2020
Fax: (941) 484-2200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301039556 Michigan
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME99734 Florida

Profile Details

NPI number 1255367959
LBN Legal business name Mestrezat, William John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated May 24th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255367959 NPPES
Michigan MEDICAID 102706763

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