Utset, Bernardo Manuel

Utset, Bernardo Manuel is an individual health care provider with primary practice located at 1361 13Th Ave S Ste 270 , Jacksonville Beach FL 32250-3258. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Utset, Bernardo Manuel can be contacted via phone (904) 425-4677.

Contact Information

Primary practice address
1361 13Th Ave S Ste 270 Jacksonville Beach FL 32250-3258
Phone: (904) 425-4677
Fax: (904) 425-4676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 59353 Florida
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X ME59353 Florida
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME59353 Florida

Profile Details

NPI number 1770585184
LBN Legal business name Utset, Bernardo Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Nov 17th, 2015 - about 11 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 1770585184 NPPES
Florida Other 110082038 RAILROAD MEDICARE
Florida MEDICAID 052977000 RAILROAD MEDICARE

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