Individual
MR. BRUCE DM WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
11440 OKEECHOBEE BLVD STE 103, ROYAL PALM BEACH, FL 33411-8707
(561) 792-9859
(561) 792-8521
Mailing address
5840 CORPORATE WAY STE A11, WEST PALM BEACH, FL 33407-2048
(561) 432-0111
(561) 432-1075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT14615
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11366904
CAQH
FL
01
—
822053
ACN GROUP
FL
05
—
891435400
—
FL
Enumeration date
09/22/2006
Last updated
06/26/2024
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