Individual
BRUCE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
970 NE 33RD TER UNIT 102, HOMESTEAD, FL 33033-5329
(305) 242-9424
Mailing address
970 NE 33RD TER UNIT 102, HOMESTEAD, FL 33033-5329
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25518
FL
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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