Individual
BRUCE EDWARD WIITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0014196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022104
CAREPLUS
FL
01
—
1261707
WELLCARE-MEDICARE
FL
01
—
210784
AVMED
FL
01
—
2180836
CIGNA
FL
01
—
P01649432
RR MEDICARE
FL
01
—
P971351
OPTIMUM
FL
01
—
P996325
FREEDOM
FL
01
—
QMP000004225143
MOLINA
FL
Enumeration date
06/10/2006
Last updated
07/10/2017
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