Individual
DR. BRUCE ROBERT MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 MALABAR RD NE, PALM BAY, FL 32907-2506
(321) 434-8078
(321) 434-8075
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
19807
NC
207RG0100X
Gastroenterology Physician
Primary
ME87439
FL
208M00000X
Hospitalist Physician
ME87439
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018828400
—
FL
01
—
IR407Z
MEDICARE
FL
Enumeration date
06/15/2006
Last updated
02/26/2020
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