Austin, Michael Bruce

Austin, Michael Bruce is an sole proprietor health care provider with primary practice located at 6822 W Waters Ave , Tampa FL 33634-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Austin, Michael Bruce can be contacted via phone (813) 514-6460.

Contact Information

Primary practice address
6822 W Waters Ave Tampa FL 33634-2212
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS005242 Florida

Profile Details

NPI number 1609885771
LBN Legal business name Austin, Michael Bruce
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2006
Last updated Jul 22nd, 2009 - about 16 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 1609885771 NPPES
Florida MEDICAID 062239700

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