Bruk, Oleg

Bruk, Oleg is an individual health care provider with primary practice located at 1600 Sarno Rd , Melbourne FL 32935-4938. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bruk, Oleg can be contacted via phone (800) 348-4565.

Contact Information

Primary practice address
1600 Sarno Rd Melbourne FL 32935-4938
Phone: (800) 348-4565
Fax: (888) 468-6511
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9100709 Florida

Profile Details

NPI number 1851440788
LBN Legal business name Bruk, Oleg
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Sep 16th, 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 1851440788 NPPES
Florida MEDICAID 291639800

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