Individual
DR. BRUCE MARTIN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10000 W COLONIAL DR STE 284, OCOEE, FL 34761-3432
(321) 841-1570
(321) 841-1569
Mailing address
10000 W COLONIAL DR STE 284, OCOEE, FL 34761-3432
(321) 841-1570
(321) 841-1569
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS15783
FL
208VP0014X
Interventional Pain Medicine Physician
OS15783
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118423300
—
FL
Enumeration date
09/19/2017
Last updated
07/17/2023
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