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
Phone: (772) 344-7228
Fax: (772) 344-7158
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063549434 | NPPES |
Florida | Other | 15874 | BCBS |
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