Bridewell, Bruce Michael

Bridewell, Bruce Michael is an sole proprietor health care provider with primary practice located at 10201 Arcos Ave Ste 201, Estero FL 33928-9459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bridewell, Bruce Michael can be contacted via phone (239) 992-7822.

Contact Information

Primary practice address
10201 Arcos Ave Ste 201 Estero FL 33928-9459
Phone: (239) 992-7822
Fax: (239) 947-5687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME51156 Florida

Profile Details

NPI number 1144293044
LBN Legal business name Bridewell, Bruce Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Jul 18th, 2016 - about 8 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 1144293044 NPPES
Florida MEDICAID 263210100
Florida Other K2012
Florida Other 19146-1

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