Bernard, Ana Maria

Bernard, Ana Maria is an individual health care provider with primary practice located at 1955 Us 1 S Suite 100, St Augustine FL 32086-3708. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bernard, Ana Maria can be contacted via phone (904) 825-5055.

Contact Information

Primary practice address
1955 Us 1 S Suite 100 St Augustine FL 32086-3708
Fax: (904) 825-6875
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12010989A Indiana
Dental Providers / General Practice 1223G0001X HAD 36 Florida

Profile Details

NPI number 1114111598
LBN Legal business name Bernard, Ana Maria
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2007
Last updated May 29th, 2014 - about 11 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 1114111598 NPPES
Florida MEDICAID 008304900
Florida MEDICAID 200871320

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