JUSTIN ROSS WASSERMAN MD PL NPI 1891098612

NPI Information

  • NPI: 1891098612
  • Provider Name: JUSTIN ROSS WASSERMAN MD PL
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2179641
  • Address: 409 SERANO WAY UNIT 101
    NOKOMIS, FL
    ZIP 34275
  • Phone: (941) 484-8222

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NPI Details

JUSTIN ROSS WASSERMAN MD PL is a clinic center in Nokomis, FL. The provider is 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). JUSTIN ROSS WASSERMAN MD PL NPI is 1891098612. The provider is registered as an organization entity type.

The provider's business location address is:

409 SERANO WAY UNIT 101
NOKOMIS, FL
ZIP 34275-241
Phone: (941) 484-8222
Fax: (941) 486-3016

The provider's authorized official is Justin Ross Wasserman .
The authorized official title is President and has the following contact phone number (941) 484-8222.

The CLIA number assigned to this NPI record is 10D2179641 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/16/2010 and was last updated on 6/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterME106806FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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