Bruneau, Matthew Leighton
Bruneau, Matthew Leighton is an individual health care provider with primary practice located at 2102 Trinity Oaks Blvd Ste 216 , Trinity FL 34655-4409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bruneau, Matthew Leighton can be contacted via phone (727) 372-2501.Contact Information
Primary practice address
2102 Trinity Oaks Blvd Ste 216
Trinity FL 34655-4409
Phone: (727) 372-2501
Fax: (813) 635-2698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME105150 | Florida |
Profile Details
| NPI number | 1023200961 |
|---|---|
| LBN Legal business name | Bruneau, Matthew Leighton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2007 |
| Last updated | Aug 19th, 2022 - about 2 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 | 1023200961 | NPPES |
| Florida | Other | P01079009 | MEDICARE RAILROAD PROVIDER NUMBER |
| Florida | MEDICAID | 002582000 | MEDICARE RAILROAD PROVIDER NUMBER |
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