Organization
DONNA M. BRIDGE MD PA
Active
Other names
Bridge Breast and Aesthetic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA M BRIDGE M.D. (PRESIDENR)
(813) 684-2506
Entity
Organization
Contact information
Practice address
608 MEDICAL CARE DR, BRANDON, FL 33511-5937
(813) 684-2506
(813) 684-5785
Mailing address
608 MEDICAL CARE DR, BRANDON, FL 33511-5937
(813) 684-2506
(813) 684-5785
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME78627
FL
Other
Enumeration date
10/09/2007
Last updated
10/10/2007
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