Shephard, Bruce Dennis
Shephard, Bruce Dennis is an sole proprietor health care provider with primary practice located at 13014 N Dale Mabry Hwy #208, Tampa FL 33618-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shephard, Bruce Dennis can be contacted via phone (813) 928-5276.Contact Information
Primary practice address
13014 N Dale Mabry Hwy #208
Tampa FL 33618-2808
Phone: (813) 928-5276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 24560 | Florida |
Profile Details
| NPI number | 1467421826 |
|---|---|
| LBN Legal business name | Shephard, Bruce Dennis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 6th, 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 | 1467421826 | NPPES |
| Florida | MEDICAID | 374753100 |
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