Yergin, Bruce Mitchell

Yergin, Bruce Mitchell is an individual health care provider with primary practice located at 3627 University Blvd S Ste 300 , Jacksonville FL 32216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Yergin, Bruce Mitchell can be contacted via phone (904) 396-0300.

Contact Information

Primary practice address
3627 University Blvd S Ste 300 Jacksonville FL 32216
Phone: (904) 396-0300
Fax: (904) 396-3039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME0021067 Florida

Profile Details

NPI number 1619962230
LBN Legal business name Yergin, Bruce Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Aug 20th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619962230 NPPES
Florida Other 5362087 AETNA
Florida Other GR172A AETNA
Florida Other 78027 AETNA
Florida Other 0098365-00 AETNA
Florida MEDICAID 0141594-00 AETNA
Florida Other PO1615058 AETNA
Florida Other 215889 AETNA

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