Bruce M Kiskaddon
Ophthalmologist
43309 Us Highway 19 N
Tarpon Springs
, Florida 34689-6221
Bruce M Kiskaddon
Ophthalmologist
43309 Us Highway 19 N
Tarpon Springs
, Florida 34689-6221
(727) 943-3334
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Bruce M Kiskaddon
- 43309 Us Highway 19 N
- Tarpon Springs, FL
- Zip : 34689-6221
- Fax : (727) 943-3334
- Phone : (727) 943-3111
Second Address
- Bruce M Kiskaddon
- 43309 Us Highway 19 N
- Tarpon Springs, FL
- Zip : 34689-6221
- Fax : (727) 943-3334
- Phone : (727) 943-3111
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Is Bruce M Kiskaddon a sole practitioner?
Is Bruce M Kiskaddon accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | ME35851 | FL |
National Provider Identifier
| NPI | 1033103361 |
|---|---|
| Provider Name | Bruce M Kiskaddon |
| First Address | Tarpon Springs, FL 34689-6221 |
| Second Address | Tarpon Springs, FL 34689-6221 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2005 |
| Last Update Date | 16/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0027100 | GHI (01) | |
| 202008 | AMERIGROUP (01) | FL |
| 209961 | AVMED (01) | FL |
| 484087 | CIGNA (01) | FL |
| 51112 | BCBS (01) | FL |
| D55970 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.