Organization
BRUCE SENIOR OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE H. SENIOR D.O. (OWNER)
(239) 337-2020
Entity
Organization
Contact information
Practice address
2277 FIRST ST., FORT MYERS, FL 33901-2959
(239) 337-2020
(239) 337-7652
Mailing address
2277 FIRST ST., FORT MYERS, FL 33901-2959
(239) 337-2020
(239) 337-7652
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0001000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084290700
—
FL
Enumeration date
10/14/2010
Last updated
04/05/2011
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