BRUCE GRAHAM DOUGLAS N.P. NPI 1811250459

NPI Information

NPI: 1811250459
Provider Name: BRUCE GRAHAM DOUGLAS, N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
400 EL CAMINO DR
#210
CYPRESS GARDENS, FL
ZIP 33884
Phone: (863) 232-9922
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Bruce Graham Douglas, N.P. is a family nurse practitioner in Cypress Gardens, FL. Bruce Graham Douglas, N.P. NPI is 1811250459. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 EL CAMINO DR
#210
CYPRESS GARDENS, FL
ZIP 33884-697
Phone: (863) 232-9922

The enumeration date for this NPI number is 6/19/2012 and was last updated on 6/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	ARNP2832442	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P29047	MEDICARE UPIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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