Edgerton, Norman Bruce

Edgerton, Norman Bruce is an individual health care provider with primary practice located at 2706 W Dr Martin Luther King Jr Blvd Ste A, Tampa FL 33607-6360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Edgerton, Norman Bruce can be contacted via phone (813) 875-8650.

Contact Information

Primary practice address
2706 W Dr Martin Luther King Jr Blvd Ste A Tampa FL 33607-6360
Phone: (813) 875-8650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME0027671 Florida

Profile Details

NPI number 1114909728
LBN Legal business name Edgerton, Norman Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jan 12th, 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 1114909728 NPPES
Florida MEDICAID 037059200

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