Individual
DR. BRUCE A GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
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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