Despres, Bernard Thomas

Despres, Bernard Thomas is an sole proprietor health care provider with primary practice located at 1925 Mizell Ave Ste 104, Winter Park FL 32792. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Despres, Bernard Thomas can be contacted via phone (407) 657-4407.

Contact Information

Primary practice address
1925 Mizell Ave Ste 104 Winter Park FL 32792
Phone: (407) 657-4407
Fax: (407) 657-4669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS0005626 Florida

Profile Details

NPI number 1356317283
LBN Legal business name Despres, Bernard Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2006
Last updated Aug 31st, 2010 - about 14 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 1356317283 NPPES
Florida MEDICAID 052247300

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