Bermudez, Mauricio

Bermudez, Mauricio is an individual health care provider with primary practice located at 12900 Cortez Blvd Ste 102 , Brooksville FL 34613-6897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bermudez, Mauricio can be contacted via phone (352) 596-7660.

Contact Information

Primary practice address
12900 Cortez Blvd Ste 102 Brooksville FL 34613-6897
Phone: (352) 596-7660
Fax: (352) 596-5581
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME81584 Florida

Profile Details

NPI number 1417963778
LBN Legal business name Bermudez, Mauricio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 11th, 2019 - about 6 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 1417963778 NPPES
Florida MEDICAID 261070100

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