Pittman, Jeremy

Pittman, Jeremy is an sole proprietor health care provider with primary practice located at 2105 Palm Bay Rd Ne Ste 4-5 , Palm Bay FL 32905-2937. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Pittman, Jeremy can be contacted via phone (321) 725-7644.

Contact Information

Primary practice address
2105 Palm Bay Rd Ne Ste 4-5 Palm Bay FL 32905-2937
Phone: (321) 725-7644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X DN26631 Florida

Profile Details

NPI number 1891468070
LBN Legal business name Pittman, Jeremy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2021
Last updated Sep 29th, 2023 - about last year

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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