Bruce Graham Douglas, NP is a
Nurse Practitioner - Family based in Cypress Gardens, Florida. Bruce Graham Douglas is licensed to practice in Florida (license number ARNP2832442) and his current practice location is
400 El Camino Dr, #210, Cypress Gardens, Florida. He can be reached at his office (for appointments etc.) via phone at
(863) 232-9922.
NPI number for Bruce Graham Douglas is 1811250459 and his current mailing address is 400 El Camino Dr, #210, Cypress Gardens, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811250459.
Provider's Profile
| Full Name | Bruce Graham Douglas |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 400 El Camino Dr, Cypress Gardens, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811250459
- Provider Enumeration Date: 06/19/2012
- Last Update Date: 06/19/2012
Medical Identifiers
Medical identifiers for Bruce Graham Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811250459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP2832442 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bruce Graham Douglas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bruce Graham Douglas, NP
400 El Camino Dr, #210,
Cypress Gardens, FL 33884-1697
Ph: (863) 232-9922 | Bruce Graham Douglas, NP
400 El Camino Dr, #210,
Cypress Gardens, FL 33884-1697
Ph: (863) 232-9922 |
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