Individual
MR. ERIC DONALD BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1600 TOWN CENTER BLVD STE C, WESTON, FL 33326-3641
(954) 389-5900
(954) 389-5751
Mailing address
220 SW 84TH AVE STE 102, PLANTATION, FL 33324-2729
(954) 349-2345
(954) 641-1080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102094
FL
363AM0700X
Medical Physician Assistant
PA9102094
FL
363AS0400X
Surgical Physician Assistant
PA9102094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002602400
—
FL
01
—
002876700
GROUP MEDICAID
FL
Enumeration date
02/16/2006
Last updated
09/24/2024
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