Individual
MR. PETER MARK BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 MEDICAL CARE DR, BRANDON, FL 33511
(813) 684-2506
(813) 684-5785
Mailing address
608 MEDICAL CARE DR, BLDG 7-601, BRANDON, FL 33511-5937
(404) 842-5400
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME79084
FL
Other
Enumeration date
04/19/2006
Last updated
06/27/2016
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