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1144293044
BRUCE MICHAEL BRIDEWELL
ESTERO, FL
NPI
1144293044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME51156)
Enumeration Date
2006-02-10
Last Update Date
2016-07-18
Business Address
Dr. BRUCE MICHAEL BRIDEWELL MD
10201 ARCOS AVE STE 201
ESTERO, FL 33928-9459
Phone number: 239-992-7822
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Mailing Address
Dr. BRUCE MICHAEL BRIDEWELL MD
PO BOX 1209
ESTERO, FL 33929-1209
Phone number: 239-992-7822
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