Bruton, Vanessa Wanda

Bruton, Vanessa Wanda is an sole proprietor health care provider with primary practice located at 1425 Nw 11Th St , Fort Lauderdale FL 33311-6110. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Bruton, Vanessa Wanda can be contacted via phone (954) 410-9794.

Contact Information

Primary practice address
1425 Nw 11Th St Fort Lauderdale FL 33311-6110
Phone: (954) 410-9794
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1205853959
LBN Legal business name Bruton, Vanessa Wanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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