Individual
DR. CARL D BRUEGGEMEYER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 OSPREY COVE LN, PONTE VEDRA BEACH, FL 32082-6213
(904) 273-5317
Mailing address
117 OSPREY COVE LN, PONTE VEDRA BEACH, FL 32082-6213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 35333
FL
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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