Hart, Mary Bridget
Hart, Mary Bridget is an individual health care provider with primary practice located at 1400 S Orange Ave , Orlando FL 32806-2134. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is her primary health care specialty. Hart, Mary Bridget can be contacted via phone (407) 648-3800.Contact Information
Primary practice address
1400 S Orange Ave
Orlando FL 32806-2134
Phone: (407) 648-3800
Fax: (407) 425-5203
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ME0064493 | Florida |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME0064493 | Florida |
Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | ME0064493 | Florida |
Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | ME0064493 | Florida |
Profile Details
NPI number | 1164437455 |
---|---|
LBN Legal business name | Hart, Mary Bridget |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 29th, 2006 |
Last updated | Jun 21st, 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 | 1164437455 | NPPES |
Other | 360003245 | MEDICARE RR | |
Other | 23058 | MEDICARE RR | |
Other | 3805400 | MEDICARE RR | |
MEDICAID | 373223100 | MEDICARE RR |
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