Bruce R Witten in St Augustine - Otolaryngology
Bruce R Witten - NPI 1962425207
Bruce R Witten is a Otolaryngology in St Augustine, Florida. Bruce R Witten practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Bruce R Witten is 1962425207. The last update date is 2007-07-09.
Bruce R Witten'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 is 301 Health Park Blvd, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce R Witten |
|---|---|
| Address | 301 Health Park Blvd, St Augustine, Florida |
| Phone Number | 9048296441 |
| Fax Number | 9048292452 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962425207 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-09 |
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 | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | ME0013869 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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What is the unique identifier code issued to Bruce R Witten by the Centers for Medicare & Medicaid Services (CMS)?
The Bruce R Witten has been assigned the NPI (National Provider Identifier) 1962425207. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Bruce R Witten's specialty and taxonomy code?
The Bruce R Witten's specialty is Otolaryngology, and the corresponding taxonomy code is 207Y00000X.
When was the Bruce R Witten's 1962425207 issued?
The Bruce R Witten's 1962425207 was issued on 2006-07-26.
On what date did the Centers for Medicare & Medicaid Services issue the 1962425207 to Bruce R Witten?
The Bruce R Witten received its 1962425207 assignment from the Centers for Medicare & Medicaid Services on 2006-07-26.
When was the information pertaining to Bruce R Witten most recently updated or revised?
The details related to Bruce R Witten, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.