Bridgman, Shane

Bridgman, Shane is an individual health care provider with primary practice located at 501 Medical Plaza Dr Ste 102 , Leesburg FL 34748-7324. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Bridgman, Shane can be contacted via phone (352) 728-0709.

Contact Information

Primary practice address
501 Medical Plaza Dr Ste 102 Leesburg FL 34748-7324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP9325995 Florida

Profile Details

NPI number 1447762380
LBN Legal business name Bridgman, Shane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2017
Last updated Nov 1st, 2017 - 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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