Organization · Type 2 NPI
Paul G Rousseau Od PA
Clinic/Center · Viera, FL
NPI number
1265762918
Active
Practice location
5455 Murrell Rd Ste 107
Viera, FL 32955-6615
Fax (321) 636-1507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | OPC2641 (FL) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
Other clinic/center providers in Viera
About NPI 1265762918
Paul G Rousseau Od PA's National Provider Identifier is 1265762918, issued on Dec 31, 2009. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Viera, FL. The record was last updated on May 3, 2012.