Individual
DOMINIC BRUCE BRUCATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
MINDWORKS INT INC, 15321 S DIXIE HWY #202, MIAMI, FL 33157-1814
(305) 232-6463
(305) 232-4465
Mailing address
MINDWORKS INT INC, 15321 S DIXIE HWY #202, MIAMI, FL 33157-1814
(305) 232-6463
(305) 232-4465
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0004290
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73730
BCBS
FL
Enumeration date
02/26/2007
Last updated
07/08/2007
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