Individual
MR. MICHAEL BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1037 W BUSCH BLVD, TAMPA, FL 33612-7703
(813) 868-1212
Mailing address
3904 HUNT RD, TAMPA, FL 33614-1597
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MA58190
FL
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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