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Individual

MR. BRUCE D JEFFRIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1833 BOULEVARD, JACKSONVILLE, FL 32206-4382
(352) 335-9100
(904) 232-2149
Mailing address
136 RAINBOW DR, #3666, LIVINGSTON, TX 77399-0001
(561) 214-0606

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS 4869
FL

Other

Enumeration date
09/09/2005
Last updated
07/08/2007
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