Individual
BRUCE R WITTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 HEALTH PARK BLVD, SUITE 323, ST AUGUSTINE, FL 32086-5793
(904) 829-6441
(904) 829-2452
Mailing address
301 HEALTH PARK BLVD, SUITE 323, ST AUGUSTINE, FL 32086-5793
(904) 829-6441
(904) 829-2452
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0013869
FL
Other
Enumeration date
07/26/2006
Last updated
07/09/2007
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