Doctor Name: | MS. PATRICIA ELLEN BRUCE |
NPI Number: | 1972826014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MA28511 |
Business Practice Address: | 15 Cypress Branch Way Suite 207e Palm Coast, FL - 321648413 |
Business Phone Number: | 3865034899 |
Business Fax Number: | |
Mailing Address: | 5 Evans Dr, PALM COAST |
State: | FL |
Postal Code: | 321646221 |
Phone Number: | 3865034899 |
Fax Number: | |
NPI Enumeration Date: | 03/03/2010 |
NPI Last Update Date: | 03/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA28511 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |