Individual
MR. BRUCE ANTHONY WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2165 HERSCHEL ST, JACKSONVILLE, FL 32204-3819
(904) 387-1220
Mailing address
2151 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4416
(904) 388-5265
(904) 387-2659
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9264869
FL
Other
Enumeration date
01/29/2013
Last updated
08/27/2024
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