BRUCE R WITTEN MD PA (NPI# 1649457524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649457524 |
| Entity Type | Organization |
| Organization Name | BRUCE R WITTEN MD PA |
| Practice Address |
301 Health Park Blvd Suite 323 St Augustine FL 32086-5793 |
| Practice Telephone | 9048296441 |
| Practice Fax Number | 9048292452 |
| Mailing Telephone | 9048296441 |
| Mailing Fax Number | 9048292452 |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | DR. BRUCE RICHARD WITTEN (OWNER) |
| Authorized Official Telephone | 9048296441 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME0013869 | FL | Other Service Providers |
| Street Address |
301 HEALTH PARK BLVD SUITE 323 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-5793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062007 | Richard A Caputo | Internal Medicine | 301 Health Park Blvd, Ste 214, St Augustine, FL 32086-5795 | 2005-06-13 |
| 1487951737 | Reda Alami Md Pa | Obstetrics & Gynecology | 301 Health Park Blvd, Ste 219, St Augustine, FL 32086-5793 | 2011-02-23 |
| 1053614305 | Vijayselwyn Davis Dhas Md | Obstetrics & Gynecology | 301 Health Park Blvd, Ste 219, St Augustine, FL 32086-5793 | 2010-12-08 |
| 1790086833 | James A Joyner IIi Md P A | Preferred Provider Organization | 301 Health Park Blvd, Suite 221 Anderson Gibbs Building, St Augustine, FL 32086-5793 | 2010-11-05 |
| 1417103045 | Leopoldo B Gonzalez Md Pa | Surgery | 301 Health Park Blvd, Suite 323, St Augustine, FL 32086-5793 | 2008-08-14 |
| 1235306820 | T S Hossain Md Pa | Clinic/Center | 301 Health Park Blvd, Suite #215, St Augustine, FL 32086 | 2008-05-13 |
| 1669675708 | Rebecca L. Ninya | Audiologist-Hearing Aid Fitter | 301 Health Park Blvd, Ste. 323, St Augustine, FL 32086-5793 | 2007-06-07 |
| 1528275328 | Flagler Hearing Services, Inc | Hearing Aid Equipment | 301 Health Park Blvd, Suite 323, St Augustine, FL 32086-5793 | 2007-05-17 |
| 1871611749 | St Augustine Neurology Pa | Clinic/Center | 301 Health Park Blvd, Suite 220, St Augustine, FL 32086-5793 | 2007-03-27 |
| 1912052796 | Luiz Carlos Kuntz | Surgery | 301 Health Park Blvd, Suite 323, St Augustine, FL 32086-5793 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609158344 | Monica Mcnally | Specialist | 109 Hammock Cir, St Augustine, FL 32084-1754 | 2011-09-19 |
| 1619267671 | Ancient City Children's Therapy, LLC | Specialist | 367 Gianna Way, St Augustine, FL 32086-3858 | 2011-04-12 |
| 1700184892 | Johannie Garcia | Specialist | 910 S. Winterhawk Dr. # 107, St Augustine, FL 32086-3858 | 2011-03-14 |
| 1124291885 | Daniel Aaron Weinberg | Specialist | 200 San Sebastian Vw Ste 2102, St Augustine, FL 32084 | 2008-04-02 |
| 1013187574 | Debbie's Day Spa & Salon | Specialist | 403 Anastasia Blvd, St Augustine, FL 32080-4508 | 2008-03-11 |
| 1386868693 | Edward H Scarpitti | Specialist | 17 St Johns Medical Park Dr., St Augustine, FL 32086-4331 | 2007-04-11 |
| 1295870830 | Paul D Jayachandra M D P A | Specialist | 1680 Osceola Elementary School Road, Suite A, St Augustine, FL 32084 | 2007-02-21 |
| 1285608299 | Daniel A Warner | Specialist | 1100 Plantation Island Dr S Ste 230, St Augustine, FL 32080 | 2006-02-15 |
| 1285613315 | John Edward Prioleau | Specialist | 400 Health Park Blvd Ste 300, St Augustine, FL 32086-5784 | 2006-01-17 |
| 1750382487 | Paul W Hund IIi | Specialist | 1400 Us Highway 1 S, St Augustine, FL 32084-4211 | 2005-08-03 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on BRUCE R WITTEN MD PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.