Bruha, Paul

Bruha, Paul is an individual health care provider with primary practice located at 995 Mar Walt Dr , Fort Walton Beach FL 32547-6758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bruha, Paul can be contacted via phone (850) 863-7887.

Contact Information

Primary practice address
995 Mar Walt Dr Fort Walton Beach FL 32547-6758
Phone: (850) 863-7887
Fax: (850) 863-0863
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME84753 Florida

Profile Details

NPI number 1316042781
LBN Legal business name Bruha, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Sep 27th, 2013 - about 12 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 1316042781 NPPES
Florida MEDICAID 068064800

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