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Bruce Mack

NPI 1043283781 · on the registry since 2006

Practice

Address
1280 Child Street
Jacksonville, FL 32214
Phone
(904) 542-7406
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida