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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356317283 | NPPES |
| Florida | MEDICAID | 052247300 |
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