Putter, Bernard S

Putter, Bernard S is an individual health care provider with primary practice located at 1850 Sw Fountainview Blvd Suite 105, Port St Lucie FL 34986-3443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Putter, Bernard S can be contacted via phone (772) 336-2818.

Contact Information

Primary practice address
1850 Sw Fountainview Blvd Suite 105 Port St Lucie FL 34986-3443
Phone: (772) 336-2818
Fax: (772) 336-5313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME73005 Florida

Profile Details

NPI number 1912995564
LBN Legal business name Putter, Bernard S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Oct 8th, 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 1912995564 NPPES
Florida MEDICAID 265954900

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