Individual
BRUCE LIPSCHUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13691 METRO PKWY STE 110B, FORT MYERS, FL 33912-4348
(239) 236-7780
(239) 236-7781
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS5633
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062545100
—
FL
Enumeration date
07/27/2005
Last updated
06/10/2019
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