Bruce H Paley Pa
LBN: Bruce H Paley Pa
Bruce H Paley Pa is an health care organization with primary practice located at 1851 Old Moultrie Rd Suite B, St Augustine FL 32084-4168. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Bruce H Paley Pa can be contacted via phone (904) 824-8088, or through Paley, Bruce Henry via phone (904) 824-8088.
Contact Information
Primary practice address
1851 Old Moultrie Rd Suite B
St Augustine FL 32084-4168
Phone: (904) 824-8088
Fax: (904) 826-4105
Website:
Authorized official contact:
Name: Paley, Bruce Henry Doctor of Osteopathy (DO)
Phone: (904) 824-8088
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS5622 | Florida |
Profile Details
NPI number | 1437568482 |
---|---|
LBN Legal business name | Bruce H Paley Pa |
DBA Doing business as | |
Authorized official | Paley, Bruce Henry Doctor of Osteopathy (DO) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 4th, 2014 |
Last updated | Aug 4th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437568482 | NPPES |
Florida | MEDICAID | 371938300 | |
Florida | Other | 4394237 | |
Florida | Other | 80532 | |
Florida | Other | 070005035 | |
Florida | Other | 101894 |
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