Sommer, Bruce Gordon

Sommer, Bruce Gordon is an individual health care provider with primary practice located at 3601 Sw 160Th Ave Suite 250, Miramar FL 33027-6308. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Sommer, Bruce Gordon can be contacted via phone (877) 866-7123.

Contact Information

Primary practice address
3601 Sw 160Th Ave Suite 250 Miramar FL 33027-6308
Phone: (877) 866-7123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X ME91422 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME91422 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 68000 Georgia

Profile Details

NPI number 1144249491
LBN Legal business name Sommer, Bruce Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 29th, 2012 - about 14 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 1144249491 NPPES
Georgia MEDICAID 518717157A
Georgia MEDICAID 2733951-00

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