| NPI | 1922346030 |
|---|---|
| Former Legal Business Name | BRUCE J EDSON MD |
| Entity Type | Organization |
| Authorized Contact | CINDI GERMOND Administrative Assistant 813-715-9802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: FL ME0055695) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |