Individual
BRUCE A PISZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
403 S KINGS AVE STE 201, BRANDON, FL 33511
(813) 872-4492
(813) 490-9635
Mailing address
403 S KINGS AVE STE 201, BRANDON, FL 33511-5962
(813) 872-4492
(813) 870-1502
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME121364
FL
208VP0000X
Pain Medicine Physician
35084603
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2495867
—
OH
Enumeration date
09/26/2006
Last updated
09/05/2019
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