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Clarence James Bronstema, D.O.

Emergency Medicine in Melbourne, FL. Individual provider (NPI-1).

NPI number1992807150
StatusActive
Last updated in NPPESFeb 15, 2012

Details

NPI
1992807150
Entity type
Individual (NPI-1)
Name
Clarence James Bronstema
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Sep 1, 2006
Last updated
Feb 15, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency MedicineOS9722FLYes

Practice location

1350 S Hickory Street
Melbourne, FL 32901

Phone 321-254-6218 · Fax 321-254-6230

Mailing address

Po Box 361907
Melbourne, FL 32906-1907

Phone 321-254-6218 · Fax 321-254-6230

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