Individual provider · Type 1 NPI

Bruce Elvon Rice

Medical Physician Assistant · St. Petersburg, FL

NPI number 1174519805 Active

Practice location

5398 Park St N
St. Petersburg, FL 33709-1041

Fax (727) 545-8263

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA2902 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1174519805

Bruce Elvon Rice's National Provider Identifier is 1174519805, issued on Sep 27, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Sep 11, 2013.