Individual
DR. NORMAN BRUCE EDGERTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2706 W DR MARTIN LUTHER KING JR BLVD, STE A, TAMPA, FL 33607-6360
(813) 875-8650
Mailing address
2706 W DR MARTIN LUTHER KING BLVD, STE A, TAMPA, FL 33607
(813) 875-8650
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0027671
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037059200
—
FL
Enumeration date
11/18/2005
Last updated
01/12/2010
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