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MICHAEL T BRUCE BA
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1962652248
Individual Registrant: MICHAEL T BRUCE BA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
330 KAY LARKIN DRIVE PALATKA, FL 32177 US
Tel: 386-329-3780 Fax: 386-329-3786
Tel: 386-329-3780 Fax: 386-329-3786
Contact information for business:
330 KAY LARKIN DRIVE PALATKA, FL 32177 US
Tel: 386-329-3780 Fax: 386-329-3786
Tel: 386-329-3780 Fax: 386-329-3786
Registration Information:
NPI: 1962652248
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
