Blackwell, Bruce

Blackwell, Bruce is an individual health care provider with primary practice located at 4137 Hunters Park Ln , Orlando FL 32837-7669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Blackwell, Bruce can be contacted via phone (407) 304-1710.

Contact Information

Primary practice address
4137 Hunters Park Ln Orlando FL 32837-7669
Fax: (407) 304-1778
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME57535 Florida

Profile Details

NPI number 1750370862
LBN Legal business name Blackwell, Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated May 9th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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