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Individual

BRUCE A KRUGLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1700 S TAMIAMI TRAIL, SARASOTA, FL 34239
(941) 917-8507
Mailing address
1700 S TAMIAMI TRAIL, SARASOTA, FL 34239
(941) 917-8507

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0048212
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14181
BLUE CROSS BLUE SHIELD
FL
01
P00077850
RAILROAD MEDICARE
Enumeration date
12/01/2005
Last updated
07/08/2007
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