Whitney, Bruce Benjamine

Whitney, Bruce Benjamine is an individual health care provider with primary practice located at 1540 S Tamiami Trl Suite 303, Sarasota FL 34239-2921. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Whitney, Bruce Benjamine can be contacted via phone (941) 917-8791.

Contact Information

Primary practice address
1540 S Tamiami Trl Suite 303 Sarasota FL 34239-2921
Fax: (941) 917-8793
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 9102589 Florida

Profile Details

NPI number 1982893319
LBN Legal business name Whitney, Bruce Benjamine
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Nov 22nd, 2011 - about 14 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 1982893319 NPPES
American Samoa Other 970000095 MEDICARE PROVIDER NO
American Samoa MEDICAID 1982893319 MEDICARE PROVIDER NO
American Samoa MEDICAID 200597730 A MEDICARE PROVIDER NO

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