Bacon, Bruce Cleaveland
Bacon, Bruce Cleaveland is an sole proprietor health care provider with primary practice located at 6932 Old Whiskey Creek Dr , Fort Myers FL 33919-1827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bacon, Bruce Cleaveland can be contacted via phone (239) 939-7609.Contact Information
Primary practice address
6932 Old Whiskey Creek Dr
Fort Myers FL 33919-1827
Phone: (239) 939-7609
Fax: (239) 939-7698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME20101 | Florida |
Profile Details
| NPI number | 1740490002 |
|---|---|
| LBN Legal business name | Bacon, Bruce Cleaveland |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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