Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 7785 | SC |
NPI | 1699777532 |
---|---|
Provider Name | Dr. Curtis Allen Bruce |
First Address | Tampa, FL 33621-5023 |
Second Address | Tampa, FL 33621-5023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 03/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
07785 | (05) | SC |
D09251 | (02) |