Dr. Bruce Gordon Sommer, M.D.
Family Medicine in Miramar, FL. Individual provider (NPI-1).
NPI number1144249491
StatusActive
Last updated in NPPESOct 29, 2012
Details
- NPI
- 1144249491
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bruce Gordon Sommer
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2006
- Last updated
- Oct 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 68000 | GA | Yes |
| 204F00000X | Transplant Surgery | ME91422 | FL | |
| 208600000X | Surgery | ME91422 | FL |
Practice location
3601 Sw 160th AveSuite 250
Miramar, FL 33027-6308
Phone 877-866-7123
Mailing address
Po Box 44008Ufjp Provider Enrollment
Jacksonville, FL 32231-4008
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