Ouellette, Bruce V

Ouellette, Bruce V is an individual health care provider with primary practice located at 10000 Sw Innovation Way , Port St Lucie FL 34987-2111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ouellette, Bruce V can be contacted via phone (954) 345-8100.

Contact Information

Primary practice address
10000 Sw Innovation Way Port St Lucie FL 34987-2111
Phone: (954) 345-8100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME84932 Florida

Profile Details

NPI number 1285619221
LBN Legal business name Ouellette, Bruce V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jun 7th, 2023 - about 3 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 1285619221 NPPES
Florida MEDICAID 265032100

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