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Individual

DR. BRUCE CLEAVELAND BACON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6932 OLD WHISKEY CREEK DR, FORT MYERS, FL 33919-1827
(239) 939-7609
(239) 939-7698
Mailing address
6932 OLD WHISKEY CREEK DR, FORT MYERS, FL 33919-1827
(239) 939-7609
(239) 939-7698

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME20101
FL

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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