Jim Bronson, LMT

NPI #1053508747 in Leesburg, Florida

Provider Information

NPI Number: 1053508747
Entity Type: Individual
Name: Jim Bronson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Sep 27, 2007
Last Updated: Sep 27, 2007

Practice Location

Address: 32815 RADIO RD
City: Leesburg
State: Florida
ZIP Code: 34788-3902
Phone: (352) 787-8531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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