Provider Demographics
NPI:1194775833
Name:BRUCE CHIROPRACTIC AND COMPREHENSIVE CARE PLLC
Entity type:Organization
Organization Name:BRUCE CHIROPRACTIC AND COMPREHENSIVE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:BRUCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:352-401-0060
Mailing Address - Street 1:2135 SW 19TH AVE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474
Mailing Address - Country:US
Mailing Address - Phone:352-401-0060
Mailing Address - Fax:352-401-3525
Practice Address - Street 1:351 NE 8TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-5349
Practice Address - Country:US
Practice Address - Phone:352-401-0060
Practice Address - Fax:352-401-3525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8782111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty