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:
Health care specialties
| Specialty | Code | License # | 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 15 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 | 1114909728 | NPPES |
| Florida | MEDICAID | 037059200 |
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