| Doctor Name: | MR. MICHAEL BRUCE |
| NPI Number: | 1629390596 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMT |
| License Number: | MA58190 |
| Business Practice Address: | 1037 W Busch Blvd Tampa, FL - 336127703 |
| Business Phone Number: | 8138681212 |
| Business Fax Number: | |
| Mailing Address: | 3904 Hunt Rd, TAMPA |
| State: | FL |
| Postal Code: | 336141597 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/19/2010 |
| NPI Last Update Date: | 02/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MA58190 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |