MEDICARE: BRIDGET EILEEN OARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN11018580	FL

General Provider Information

NPI Number	:	1619626926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET EILEEN OARE

Provider Business Mailing Address
First Line	:	6120 REESE RD APT 4-403
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33314-1216
Country	:	US
Telephone Number	:	716-208-7670
Fax Number	:

Provider Business Practice Location Address
First Line	:	9897 HAGEN RANCH RD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-6700
Country	:	US
Telephone Number	:	561-990-4856
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2022
Last Update Date	:	03/22/2022

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