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Individual

BRUCE P DORMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
311 MANATEE AVE E, BRADENTON, FL 34208-1933
(941) 714-0276
(941) 714-0294
Mailing address
311 MANATEE AVE E, BRADENTON, FL 34208-1933
(941) 714-0276
(941) 714-0294

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0068759
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00040840001
UNIVERA
FL
01
00083
UNIVERSAL
FL
01
106832
HEALTHPARTNERS
FL
01
15563
STAYWELL/HEALTHEASE/WELLC
FL
01
2511849
GHI
FL
01
27454
BCBS
FL
05
379114900
FL
01
5328057
AETNA
FL
01
5815156
CIGNA
FL
01
650766854001
MEDICAL MUTUAL
FL
01
710389
UPMC
FL
01
AA2970
HARVARD PILGRIM HPHC
FL
01
FL0009578
TRICARE
FL
01
P0072875
RAILROAD MEDICARE
FL
Enumeration date
02/26/2007
Last updated
01/28/2010
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