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Individual

MR. BRUCE DWAYNE BARRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1806 N 29TH ST, FORT PIERCE, FL 34947-2010
(772) 672-4387
Mailing address
1806 N 29TH ST, FORT PIERCE, FL 34947-2010
(772) 971-3727

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
343900000X
Non-emergency Medical Transport (VAN)

Other

Enumeration date
03/31/2023
Last updated
03/31/2023
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