Paley, Bruce Henry

Paley, Bruce Henry is an sole proprietor health care provider with primary practice located at 1851 Old Moultrie Rd Suite B, St Augustine FL 32084-4168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Paley, Bruce Henry can be contacted via phone (904) 824-8088.

Contact Information

Primary practice address
1851 Old Moultrie Rd Suite B St Augustine FL 32084-4168
Phone: (904) 824-8088
Fax: (904) 826-4105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS5622 Florida

Profile Details

NPI number 1619993375
LBN Legal business name Paley, Bruce Henry
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Mar 11th, 2020 - about 4 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 1619993375 NPPES
Other 593157956 HUMANA
Other 0709348001 HUMANA
Other 80532 HUMANA
Other 0898894 HUMANA
MEDICAID 317938300 HUMANA
Other 4394237 HUMANA
MEDICAID 024544400 HUMANA
Other 101894 HUMANA
Other 80532 HUMANA
Other 593157956 HUMANA

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