Wiita, Bruce Edward
Wiita, Bruce Edward is an individual health care provider with primary practice located at 1002 S Old Dixie Hwy Suite 104, Jupiter FL 33458-7202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wiita, Bruce Edward can be contacted via phone (561) 747-5885.Contact Information
Primary practice address
1002 S Old Dixie Hwy Suite 104
Jupiter FL 33458-7202
Phone: (561) 747-5885
Fax: (561) 743-5456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 0014196 | Florida |
Profile Details
| NPI number | 1013959741 |
|---|---|
| LBN Legal business name | Wiita, Bruce Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jul 10th, 2017 - about 7 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 | 1013959741 | NPPES |
| Florida | Other | P996325 | FREEDOM |
| Florida | Other | QMP000004225143 | FREEDOM |
| Florida | Other | P971351 | FREEDOM |
| Florida | Other | 210784 | FREEDOM |
| Florida | Other | 2180836 | FREEDOM |
| Florida | Other | 1022104 | FREEDOM |
| Florida | Other | 1261707 | FREEDOM |
| Florida | Other | P01649432 | FREEDOM |
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