Petusevsky, Howard Bruce

Petusevsky, Howard Bruce is an sole proprietor health care provider with primary practice located at 7769 Nw 44Th St , Sunrise FL 33351-6203. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Petusevsky, Howard Bruce can be contacted via phone (954) 742-4343.

Contact Information

Primary practice address
7769 Nw 44Th St Sunrise FL 33351-6203
Phone: (954) 742-4343
Fax: (954) 572-8335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO1813 Florida

Profile Details

NPI number 1972678498
LBN Legal business name Petusevsky, Howard Bruce
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Jul 12th, 2010 - about 14 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 1972678498 NPPES
Florida Other 87950 PODIATRY

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