Organization · Type 2 NPI

Bruce R Witten MD PA

Specialist · St. Augustine, FL

NPI number 1649457524 Active

Practice location

301 Health Park Blvd, Suite 323
St. Augustine, FL 32086-5793

Call (904) 829-6441 Map

Fax (904) 829-2452

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME0013869 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1649457524

Bruce R Witten MD PA's National Provider Identifier is 1649457524, issued on Jan 23, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Augustine, FL. The record was last updated on Jan 23, 2008.