Bermudez, Jennifer Jane

Bermudez, Jennifer Jane is an individual health care provider with primary practice located at 206 2Nd St E , Bradenton FL 34208-1042. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Bermudez, Jennifer Jane can be contacted via phone (941) 746-5111.

Contact Information

Primary practice address
206 2Nd St E Bradenton FL 34208-1042
Phone: (941) 746-5111
Fax: (941) 745-7233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X NC200401025 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME87766 Florida

Profile Details

NPI number 1396775888
LBN Legal business name Bermudez, Jennifer Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 21st, 2022 - about 4 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 1396775888 NPPES
Florida Other 53444 BCBS
Florida MEDICAID 275481900 BCBS

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