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Bruce Gibson
NPI 1952675944 · on the registry since 2012 · sole proprietor
Practice
- Address
- 345 Beville Rd
Suite# 106
South Daytona, FL 32119 - Phone
- (386) 760-7533
- Fax
- (386) 761-5868
- Organisation at this address
- Dr Mark A. Spradley P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-03-08
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