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Individual

DR. BRUCE A GIFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4930 GOLDEN GATE PKWY, NAPLES, FL 34116-6962
(239) 455-3822
Mailing address
4930 GOLDEN GATE PKWY, NAPLES, FL 34116-6962

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH6154
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22578
BCBS OF FLORIDA
FL
05
3804526-00
FL
Enumeration date
07/25/2006
Last updated
10/13/2010
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