Tribuzio, Edward Dominick
Tribuzio, Edward Dominick is an sole proprietor health care provider with primary practice located at 1132 S 14Th St , Fernandina Beach FL 32034-2920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tribuzio, Edward Dominick can be contacted via phone (904) 432-3061.Contact Information
Primary practice address
1132 S 14Th St
Fernandina Beach FL 32034-2920
Phone: (904) 432-3061
Fax: (904) 432-3062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME42515 | Florida |
Profile Details
| NPI number | 1174501571 |
|---|---|
| LBN Legal business name | Tribuzio, Edward Dominick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Jun 9th, 2023 - about 2 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 | 1174501571 | NPPES |
| Florida | Other | NG830 | MEDICARE |
| Florida | MEDICAID | 067854600 | MEDICARE |
| Florida | Other | 45033 | MEDICARE |
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