Bruefach, Tina
Bruefach, Tina is an sole proprietor health care provider with primary practice located at 11140 W Colonial Dr #3, Ocoee FL 34761-3300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bruefach, Tina can be contacted via phone (407) 395-7040.Contact Information
Primary practice address
11140 W Colonial Dr #3
Ocoee FL 34761-3300
Phone: (407) 395-7040
Fax: (407) 395-7105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA0002755 | Florida |
Profile Details
| NPI number | 1033221411 |
|---|---|
| LBN Legal business name | Bruefach, Tina |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Oct 26th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033221411 | NPPES |
| Florida | Other | P00094987 | RRMCR |
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