Individual
DR. BRUCE C KONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 392-4008
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 392-4008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J9136
TX
207RN0300X
Nephrology Physician
J9136
TX
207RN0300X
Nephrology Physician
Primary
ME99831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134545607
—
TX
05
—
279861700
—
FL
01
—
390005988
RAILROAD MEDICARE
TX
01
—
88Y856
BCBS
TX
Enumeration date
07/10/2006
Last updated
04/29/2008
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