| Robert O Kessack Iii, PA | |
|
216 Frederick St, Pierson, FL 32180-3024 | |
| (386) 749-9449 | |
| (386) 749-2280 |
| Full Name | Robert O Kessack Iii |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 216 Frederick St, Pierson, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497708952 | NPI | - | NPPES |
| PA9105462 | Other | FL | PA LICENSE, FLORIDA |
| 002724600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9105462 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Robert O Kessack Iii, PA 216 Frederick St, Pierson, FL 32180-3024 Ph: (386) 749-9449 | Robert O Kessack Iii, PA 216 Frederick St, Pierson, FL 32180-3024 Ph: (386) 749-9449 |
Jorge Luis Martinez Bruna, Physician Assistant Medicare: Medicare Enrolled Practice Location: 216 Frederick St, Pierson, FL 32180 Phone: 386-202-6025 | |
Robert Rodriguez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 216 Frederick St, Pierson, FL 32180 Phone: 386-749-9449 Fax: 386-749-2280 |