Organization
BRUCE R WITTEN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE RICHARD WITTEN M.D. (OWNER)
(904) 829-6441
Entity
Organization
Contact information
Practice address
301 HEALTH PARK BLVD, SUITE 323, ST AUGUSTINE, FL 32086-5793
(904) 829-6441
(904) 829-2452
Mailing address
301 HEALTH PARK BLVD, SUITE 323, ST AUGUSTINE, FL 32086-5793
(904) 829-6441
(904) 829-2452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0013869
FL
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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