Individual
MR. BRUCE J MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4712
(904) 308-7372
(904) 308-2998
Mailing address
2627 RIVERSIDE AVE, JACKSONVILLE, FL 32204-4712
(904) 308-7372
(904) 308-2998
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0043803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08659
HEALTHEASE
FL
01
—
15876
BCBS
FL
01
—
4008067-003
CIGNA
FL
01
—
4047758
AETNA
FL
Enumeration date
08/22/2005
Last updated
07/08/2007
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