Patzwahl, Bruce A.

Patzwahl, Bruce A. is an individual health care provider with primary practice located at 12700 Creekside Ln Suite 101, Fort Myers FL 33919-3356. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Neurological Surgery, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Patzwahl, Bruce A. can be contacted via phone (239) 432-0774.

Contact Information

Primary practice address
12700 Creekside Ln Suite 101 Fort Myers FL 33919-3356
Phone: (239) 432-0774
Fax: (239) 432-9404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA1782 Florida
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X PA1782 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1782 Florida

Profile Details

NPI number 1194787804
LBN Legal business name Patzwahl, Bruce A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Feb 12th, 2013 - about 11 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 1194787804 NPPES
Florida MEDICAID 2902397-00
Florida Other Y00LX

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