Kristol, Bruce Ivan

Kristol, Bruce Ivan is an individual health care provider with primary practice located at 2427 University Blvd W , Jacksonville FL 32217-2001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kristol, Bruce Ivan can be contacted via phone (904) 738-5808.

Contact Information

Primary practice address
2427 University Blvd W Jacksonville FL 32217-2001
Phone: (904) 738-5808
Fax: (904) 739-2528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY2363 Florida

Profile Details

NPI number 1922091198
LBN Legal business name Kristol, Bruce Ivan
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Oct 16th, 2008 - about 17 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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