Pitts, Blaine Bradley

Pitts, Blaine Bradley is an individual health care provider with primary practice located at 92 W Miller St , Orlando FL 32806-2032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Pitts, Blaine Bradley can be contacted via phone (321) 841-2245.

Contact Information

Primary practice address
92 W Miller St Orlando FL 32806-2032
Phone: (321) 841-2245
Fax: (321) 843-6624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 093600 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2005018765 Missouri
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 2080H0002X ME110544 Florida

Profile Details

NPI number 1801090246
LBN Legal business name Pitts, Blaine Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Jul 1st, 2019 - about 7 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 1801090246 NPPES
Florida Other ME110544 MEDICAL LICENSE
Florida MEDICAID 003827200 MEDICAL LICENSE

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