Bird, Juan C

Bird, Juan C is an individual health care provider with primary practice located at 10080 Sw Innovation Way Ste 201 , Port St Lucie FL 34987-2129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Bird, Juan C can be contacted via phone (772) 283-9111.

Contact Information

Primary practice address
10080 Sw Innovation Way Ste 201 Port St Lucie FL 34987-2129
Phone: (772) 283-9111
Fax: (772) 283-2955
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18180 Puerto Rico
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD043743 District of Columbia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME133140 Florida

Profile Details

NPI number 1669606109
LBN Legal business name Bird, Juan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2009
Last updated Oct 14th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669606109 NPPES
Florida Other IEUU3 FLORIDA BLUE

Popular Providers