Fisher, Bret L
Fisher, Bret L is an individual health care provider with primary practice located at 2500 Martin Luther King Jr Blvd , Panama City FL 32405-4412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Fisher, Bret L can be contacted via phone (850) 784-3937.Contact Information
Primary practice address
2500 Martin Luther King Jr Blvd
Panama City FL 32405-4412
Phone: (850) 784-3937
Fax: (850) 522-9829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME 64480 | Florida |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME 64480 | Florida |
Profile Details
| NPI number | 1174559660 |
|---|---|
| LBN Legal business name | Fisher, Bret L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Oct 9th, 2008 - about 18 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 | 1174559660 | NPPES |
| Florida | MEDICAID | 373036100 | |
| Florida | Other | 180039064 | |
| Florida | Other | 23079 |
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