Individual
DR. BRUCE CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 CENTREPARK WEST DR., SUITE 175, WEST PALM BEACH, FL 33409
(561) 242-3009
Mailing address
2101 CENTRE PARK WEST DR STE 175, WEST PALM BEACH, FL 33409-6466
(561) 242-3009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
119752
FL
207R00000X
Internal Medicine Physician
Primary
175085
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01911848
—
NY
Enumeration date
08/18/2005
Last updated
07/21/2022
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