Bruce R Witten MD PA

NPI #1649457524 in St Augustine, Florida

Provider Information

NPI Number: 1649457524
Entity Type: Organization
Organization Name: Bruce R Witten MD PA
Primary Specialty: Specialist
Enumeration Date: Jan 23, 2008
Last Updated: Jan 23, 2008

Practice Location

Address: 301 HEALTH PARK BLVD
Address 2: SUITE 323
City: St Augustine
State: Florida
ZIP Code: 32086-5793
Phone: (904) 829-6441

Authorized Official

Name: DR. BRUCE RICHARD WITTEN, M.D.
Title: OWNER
Phone: (904) 829-6441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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