Bruce D Shephard Md Pa

NPI 1326001868 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1326001868
Enumeration Date 04/07/2006
Last Updated 12/10/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRUCE D BRUCE
Position PRESIDENT
Phone (813) 876-2496
Fax (813) 872-0027
Practice Location
4302 N HABANA AV
SUITE 300
TAMPA FL, 33607-6368, US
Phone (813) 876-2496
Fax (813) 872-0027
Business Location
4302 N HABANA AV
SUITE 300
TAMPA FL, 33607-6368, US
Phone (813) 876-2496
Fax (813) 872-0027
Toxanomy
Taxonomy Code 207V00000X
License State Florida
License Number 24560
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According to our database, Bruce D Shephard Md Pa NPI is 1326001868, taxonomy code is 207V00000X and license number is 24560, license state is located at Florida. Bruce D Shephard Md Pa physically located at 4302 N Habana Av, Tampa FL, 33607-6368. NPI Number 1033115704 has the healthcare provider type.

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1326001868 NPI number is provided on an as is basis without warranty of any kind. 1326001868 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce D Shephard Md Pa are for informational purposes only.