Doctor Name: | DR. EDDIE BARTOLOMEI |
NPI Number: | 1164417986 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301064370 |
Business Practice Address: | 11687 Vicolo Loop Windermere, FL - 347866054 |
Business Phone Number: | 4074976623 |
Business Fax Number: | 2489260176 |
Mailing Address: | 11687 Vicolo Loop, WINDERMERE |
State: | FL |
Postal Code: | 347866054 |
Phone Number: | 4074976623 |
Fax Number: | 2489260176 |
NPI Enumeration Date: | 09/19/2005 |
NPI Last Update Date: | 02/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/23/2006 |
NPI Reactivation Date: | 04/03/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301064370 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |