Individual
BRUCE WARREN CARLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5352 LINTON BLVD, DELRAY BEACH, FL 33484
(561) 498-4440
(561) 495-3103
Mailing address
PO BOX 628219, ORLANDO, FL 32862-8219
(800) 477-1283
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1923822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306193100
—
FL
Enumeration date
08/17/2006
Last updated
05/06/2011
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