Individual provider Active NPI

Frank Michael Dessauer, PA-C

  • Medical Physician Assistant
  • Brandon, FL
National Provider Identifier
1629069570
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
220 Grand Regency Blvd
Brandon, FL 33510-3935
Phone
(813) 827-9759
Fax
(813) 827-9797
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

220 Grand Regency Blvd
Brandon, FL 33510-3935

Mailing address

4316 Buckhorn Groves CT
Valrico, FL 33594-5951
Phone (813) 827-9759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140324001811 NC Order and Referring Only - Physician Assistant 6709946684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629069570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 BUCKHORN GROVES CT",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335945951",
            "telephone_number": "813-827-9759",
            "fax_number": "813-827-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GRAND REGENCY BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335103935",
            "telephone_number": "813-827-9759",
            "fax_number": "813-827-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSAUER",
        "first_name": "FRANK",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.