Bruce S. West in Fernandina Beach - Health Service
Bruce S. West - NPI 1477761625
Bruce S. West is a Health Service in Fernandina Beach, Florida. Bruce S. West practices all healthcare services and medical treatments related to Health Service. The NPI Number for Bruce S. West is 1477761625. The last update date is 2015-08-17.
Bruce S. West's current location address is 1340 S 18th St, Fernandina Beach, Florida. You can contact this provider via phone number 9042617707 and fax number 9042618616. The mailing address for Bruce S. West is 1340 S 18th St, Fernandina Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bruce S. West |
|---|---|
| Address | 1340 S 18th St, Fernandina Beach, Florida |
| Phone Number | 9042617707 |
| Fax Number | 9042618616 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | West S Bruce |
| Credentials | M.D. |
| Telephone Number | 9042617707 |
NPI Number Detail
| NPI Number | 1477761625 |
|---|---|
| Provider Enumeration Date | 2007-05-20 |
| Last Updated Date | 2015-08-17 |
Provider Mailing Address Detail
| Address | 1340 S 18th St |
|---|---|
| City | Fernandina Beach |
| State | Florida (FL) |
| Post Code | 320344799 |
| Phone Number | 9042617707 |
| Fax Number | 9042618616 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | 101042844 |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6734952 | VA | -- | |
| 113328677A | GA | -- | |
| 280146900 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Bruce S. West by the Centers for Medicare & Medicaid Services?
The Bruce S. West has been assigned the NPI (National Provider Identifier) 1477761625. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bruce S. West?
The Bruce S. West is physically situated at 1340 S 18Th St, in the city of Fernandina Beach, state of FL, with the postal code 320344799.
What is the area of specialization for Bruce S. West, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bruce S. West is Health Service, and the corresponding taxonomy code that categorizes this area of expertise is 261Qh0100X.
On what date did the Bruce S. West receive the assignment of its 1477761625 from the Centers for Medicare & Medicaid Services?
The Bruce S. West was issued its 1477761625 by the Centers for Medicare & Medicaid Services on 2007-05-20.
When was the information related to Bruce S. West most recently updated or refreshed?
The details pertaining to the Bruce S. West, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-08-17.
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