West, Bruce Stewart

West, Bruce Stewart is an sole proprietor health care provider with primary practice located at 1340 S 18Th St #203, Fernandina Beach FL 32034-4799. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. West, Bruce Stewart can be contacted via phone (904) 261-7707.

Contact Information

Primary practice address
1340 S 18Th St #203 Fernandina Beach FL 32034-4799
Phone: (904) 261-7707
Fax: (907) 261-8616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101042844 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME99878 Florida

Profile Details

NPI number 1588632780
LBN Legal business name West, Bruce Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Aug 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 1588632780 NPPES
Florida MEDICAID 280146900
Florida MEDICAID 6734952

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