Individual
BRUCE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1830 N MAIN ST, BELL, FL 32619-4713
(352) 463-1100
(352) 463-4507
Mailing address
23343 NW COUNTY ROAD 236, TRENTON, FL 32643-9669
(386) 454-0698
(386) 454-0690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0085069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26550800
—
FL
01
—
62987
BC
FL
01
—
ME0085069
MEDICAL LICENSE
FL
Enumeration date
07/10/2006
Last updated
03/03/2020
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