BRUCE J EDSON MD PA
Social Work at Dale Mabry Hwy, Tampa, FL

License number
Florida ME0055695
Category
Social Work
Type
Prescribing (Medical)
Owner
Name: MS. CINDI GERMOND
Title: ADMINISTRATIVE ASSISTANT
Phone: (813) 715-9802
Address
Address
16554 N Dale Mabry Hwy, Tampa, FL 33618
National Provider ID: 1922346030
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Bruce J. Edson, M.D., PA

16554 N Dl Mabry Hwy, Tampa, FL 33618

Registration:
May 6, 1992
State ID:
V33959
Business type:
Domestic for Profit Corporation
President, Treasurer, Director, Secretary:
Bruce J. Edson (President, Treasurer, Director, Secretary)
Agent:
Alan S. Gassman

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