Organization
BRUCE J EDSON MD PA
Active
Other names
BRUCE J EDSON MD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDI GERMOND (ADMINISTRATIVE ASSISTANT)
(813) 715-9802
Entity
Organization
Contact information
Practice address
16554 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 968-7188
(813) 715-9802
Mailing address
16554 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 968-7188
(813) 715-9802
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
ME0055695
FL
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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