Shephard, Bruce Dennis

Shephard, Bruce Dennis is an sole proprietor health care provider with primary practice located at 13014 N Dale Mabry Hwy #208, Tampa FL 33618-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shephard, Bruce Dennis can be contacted via phone (813) 928-5276.

Contact Information

Primary practice address
13014 N Dale Mabry Hwy #208 Tampa FL 33618-2808
Phone: (813) 928-5276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 24560 Florida

Profile Details

NPI number 1467421826
LBN Legal business name Shephard, Bruce Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated Jul 6th, 2016 - about 10 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 1467421826 NPPES
Florida MEDICAID 374753100

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