Individual
BRUCE JAMES EDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16554 DALE MABRY HIGHWAY N, TAMPA, FL 33618
(813) 968-7188
(813) 968-7188
Mailing address
16554 DALE MABRY HIGHWAY N, TAMPA, FL 33618
(813) 968-7188
(813) 968-7627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME55695
FL
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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