Individual
DR. BRUCE MARTIN NIGRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2101 PUMPKIN PL NE, PALM BAY, FL 32905-4006
(321) 412-1705
(321) 726-5959
Mailing address
2101 PUMPKIN PL NE, PALM BAY, FL 32905-4006
(321) 412-1705
(321) 726-5959
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2767
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO2767
FL
213ES0131X
Foot Surgery Podiatrist
PO2767
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340491900
—
FL
01
—
65242
BCBS
FL
Enumeration date
03/29/2006
Last updated
08/16/2015
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