Waxman, Bruce
Waxman, Bruce is an sole proprietor health care provider with primary practice located at 4398 Hickory Dr , Palm Beach Gardens FL 33418-3906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Waxman, Bruce can be contacted via phone (561) 312-7004.Contact Information
Primary practice address
4398 Hickory Dr
Palm Beach Gardens FL 33418-3906
Phone: (561) 312-7004
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME0028598 | Florida |
Profile Details
NPI number | 1790706232 |
---|---|
LBN Legal business name | Waxman, Bruce |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 21st, 2006 |
Last updated | Oct 3rd, 2012 - about 12 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 | 1790706232 | NPPES |
Florida | MEDICAID | 057908400 |
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