Jurbala, Brian Michael
Jurbala, Brian Michael is an individual health care provider with primary practice located at 3317 Us Highway 98 S Ste 9 , Lakeland FL 33803-8316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jurbala, Brian Michael can be contacted via phone (863) 709-8777.Contact Information
Primary practice address
3317 Us Highway 98 S Ste 9
Lakeland FL 33803-8316
Phone: (863) 709-8777
Fax: (863) 709-1060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME70116 | Florida |
Profile Details
| NPI number | 1669468096 |
|---|---|
| LBN Legal business name | Jurbala, Brian Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Jul 10th, 2024 - about 2 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 | 1669468096 | NPPES |
| Florida | Other | 020593810 | GROUP # FOR TRICARE |
| Florida | Other | 200046088 | GROUP # FOR TRICARE |
| Florida | Other | 264652800 | GROUP # FOR TRICARE |
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