Petrinic, Bambi

Petrinic, Bambi is an individual health care provider with primary practice located at 513 Nw Lake Whitney Pl , Port Saint Lucie FL 34986-1618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Petrinic, Bambi can be contacted via phone (772) 344-7228.

Contact Information

Primary practice address
513 Nw Lake Whitney Pl Port Saint Lucie FL 34986-1618
Fax: (772) 344-7158
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME101958 Florida

Profile Details

NPI number 1063549434
LBN Legal business name Petrinic, Bambi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Aug 11th, 2016 - about 8 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 1063549434 NPPES
Florida Other 15874 BCBS

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