Individual
DR. ROY WEBSTER BRUCE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2602 JIM REDMAN PKWY, PLANT CITY, FL 33566-9460
(813) 752-5838
Mailing address
1808 JIM REDMAN PKWY, #117, PLANT CITY, FL 33563-6914
(863) 608-5330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078599700
—
FL
Enumeration date
08/24/2005
Last updated
05/11/2015
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