Individual
DR. BRUCE ALLAN HARTWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 SHIRCLIFF WAY STE 752, SUITE 752, JACKSONVILLE, FL 32204-4786
(904) 389-6226
(904) 388-7265
Mailing address
3 SHIRCLIFF WAY STE 752, SUITE 752, JACKSONVILLE, FL 32204-4786
(904) 389-6226
(904) 388-7265
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0039317
FL
2084N0400X
Neurology Physician
ME003932000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0623807
AETNA INS PROVIDER NUMBER
FL
01
—
130000461
RAILROAD MEDICARE NUMBER
FL
01
—
40188
AV-MED PROVIDER NUMBER
FL
01
—
592157126
TRICARE, UNITED HEALTHCAR
FL
Enumeration date
07/01/2005
Last updated
12/17/2019
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