| Doctor Name: | DR. BRUCE GORDON SOMMER |
| NPI Number: | 1144249491 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME91422 |
| Business Practice Address: | 3601 Sw 160th Ave Suite 250 Miramar, FL - 330276308 |
| Business Phone Number: | 8778667123 |
| Business Fax Number: | |
| Mailing Address: | Po Box 44008, Ufjp Provider Enrollment JACKSONVILLE |
| State: | FL |
| Postal Code: | 322314008 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 10/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204F00000X |
| License Number: | ME91422 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Transplant Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |