Dr. Bruce Gordon Sommer
Surgeon Family Doctor Transplant Surgeon
3601 Sw 160th Ave Suite 250
Miramar
, Florida 33027-6308
Dr. Bruce Gordon Sommer
Surgeon Family Doctor Transplant Surgeon
3601 Sw 160th Ave Suite 250
Miramar
, Florida 33027-6308
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About
Features
Specialties
- Transplant Surgeon
- Family Doctor
- Surgeon
Languages spoken
- English
Location
First Address
- Dr. Bruce Gordon Sommer
- Po Box 44008 Ufjp Provider Enrollment
- Jacksonville, FL
- Zip : 32231-4008
- Phone :
Second Address
- Dr. Bruce Gordon Sommer
- 3601 Sw 160th Ave Suite 250
- Miramar, FL
- Zip : 33027-6308
- Phone : (877) 866-7123
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204F00000X | Transplant Surgeon | ME91422 | FL |
| Y | 207Q00000X | Family Doctor | 68000 | GA |
| N | 208200000X | Surgeon | ME91422 | FL |
| N | 208600000X | Surgeon | ME91422 | FL |
National Provider Identifier
| NPI | 1144249491 |
|---|---|
| Provider Name | Dr. Bruce Gordon Sommer |
| First Address | Jacksonville, FL 32231-4008 |
| Second Address | Miramar, FL 33027-6308 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2006 |
| Last Update Date | 29/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2733951-00 | (05) | FL |
| 518717157A | (05) | GA |
| A15293 | (02) | FL |
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.