Brus, Mark H
Brus, Mark H is an individual health care provider with primary practice located at 5880 Rand Blvd Suite 200, Sarasota FL 34238-5118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brus, Mark H can be contacted via phone (941) 923-5882.Contact Information
Primary practice address
5880 Rand Blvd Suite 200
Sarasota FL 34238-5118
Phone: (941) 923-5882
Fax: (941) 923-1453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME69127 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME69127 | Florida |
Profile Details
| NPI number | 1922097948 |
|---|---|
| LBN Legal business name | Brus, Mark H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jun 27th, 2014 - about 12 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 | 1922097948 | NPPES |
| Florida | MEDICAID | 253305700 | |
| Florida | Other | 27964 | |
| Florida | Other | 650512900027 | |
| Florida | Other | 4088305-002 | |
| Florida | Other | P00100540 |
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