Individual
DR. BRUCE IVAN KRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2427 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2001
(904) 738-5808
(904) 739-2528
Mailing address
7243 SAN JOSE BLVD, JACKSONVILLE, FL 32217-3425
(904) 739-5808
(904) 739-2528
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2363
FL
Other
Enumeration date
08/23/2005
Last updated
10/16/2008
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