Individual
BRUCE ROBERT SIMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3661 S BABCOCK ST FL 2, MELBOURNE, FL 32901-8205
(321) 868-4120
(321) 727-3738
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 868-4120
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN2704952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102018900
—
FL
01
—
HC582Y
MEDICARE
FL
Enumeration date
06/17/2005
Last updated
03/16/2020
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