Nigro, Bruce Martin
Nigro, Bruce Martin is an sole proprietor health care provider with primary practice located at 2101 Pumpkin Pl Ne , Palm Bay FL 32905-4006. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Nigro, Bruce Martin can be contacted via phone (321) 412-1705.Contact Information
Primary practice address
2101 Pumpkin Pl Ne
Palm Bay FL 32905-4006
Phone: (321) 412-1705
Fax: (321) 726-5959
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO2767 | Florida |
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | PO2767 | Florida |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | PO2767 | Florida |
Profile Details
NPI number | 1699736736 |
---|---|
LBN Legal business name | Nigro, Bruce Martin |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 29th, 2006 |
Last updated | Aug 16th, 2015 - about 10 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 | 1699736736 | NPPES |
Florida | Other | 65242 | BCBS |
Florida | MEDICAID | 340491900 | BCBS |
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