Tatum, Brian
Tatum, Brian is an sole proprietor health care provider with primary practice located at 6905 Heritage Dr , Port St Lucie FL 34952-8227. He recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as his primary health care specialty. Tatum, Brian can be contacted via phone (772) 370-5547.Contact Information
Primary practice address
6905 Heritage Dr
Port St Lucie FL 34952-8227
Phone: (772) 370-5547
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X |
Profile Details
| NPI number | 1669984167 |
|---|---|
| LBN Legal business name | Tatum, Brian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2017 |
| Last updated | Oct 25th, 2017 - 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.
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