Shucavage, Bernard

Shucavage, Bernard is an individual health care provider with primary practice located at 12511 World Plaza Ln Bldg 50 , Fort Myers FL 33907-3991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Shucavage, Bernard can be contacted via phone (239) 939-2622.

Contact Information

Primary practice address
12511 World Plaza Ln Bldg 50 Fort Myers FL 33907-3991
Phone: (239) 939-2622
Fax: (239) 939-0151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME0046278 Florida

Profile Details

NPI number 1316927874
LBN Legal business name Shucavage, Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 28th, 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 1316927874 NPPES
Florida Other 02927 BC/BS FL
Florida Other 050009345 BC/BS FL
Florida MEDICAID 045538500 BC/BS FL
Florida Other 221478 BC/BS FL

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