Bruce R Witten Md Pa in St Augustine - Specialist

Bruce R Witten Md Pa - NPI 1649457524

Bruce R Witten Md Pa is a Specialist in St Augustine, Florida. Bruce R Witten Md Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bruce R Witten Md Pa is 1649457524. The last update date is 2008-01-23.

Bruce R Witten Md Pa's current location address is 301 Health Park Blvd, St Augustine, Florida. You can contact this provider via phone number 9048296441 and fax number 9048292452. The mailing address for Bruce R Witten Md Pa is 301 Health Park Blvd, St Augustine, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bruce R Witten Md Pa
Address 301 Health Park Blvd, St Augustine, Florida
Phone Number 9048296441
Fax Number 9048292452
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Witten Richard Bruce
Credentials M.D.
Telephone Number 9048296441

NPI Number Detail

NPI Number 1649457524
Provider Enumeration Date 2008-01-23
Last Updated Date 2008-01-23

Provider Mailing Address Detail

Address 301 Health Park Blvd
City St Augustine
State Florida (FL)
Post Code 320865793
Phone Number 9048296441
Fax Number 9048292452

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No ME0013869
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Bruce R Witten Md Pa

What is the unique 10-digit identifier code issued to Bruce R Witten Md Pa by the Centers for Medicare & Medicaid Services?

The Bruce R Witten Md Pa has been assigned the NPI (National Provider Identifier) 1649457524 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Bruce R Witten Md Pa's facilities are situated?

The facilities of Bruce R Witten Md Pa are physically located at the following address: 301 Health Park Blvd, St Augustine, FL, 320865793.

What is Bruce R Witten Md Pa's area of expertise and its corresponding taxonomy classification?

The Bruce R Witten Md Pa's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.

On what date did Bruce R Witten Md Pa receive its 1649457524 assignment from the Centers for Medicare & Medicaid Services?

The Bruce R Witten Md Pa was assigned its 1649457524 on 2008-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Bruce R Witten Md Pa most recently updated?

The details pertaining to the Bruce R Witten Md Pa, including its address, specialty, and other relevant information, were last refreshed on 2008-01-23.

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