Corey Bruce, is a
Behavior Technician based in Oviedo, Florida. Corey Bruce is licensed to practice in * (Not Available) (license number ) and his current practice location is
1809 E.broadway St. Suite 122, Oviedo, Florida. He can be reached at his office (for appointments etc.) via phone at
(407) 359-5693.
NPI number for Corey Bruce is 1164850434 and his current mailing address is 6650 Corporate Center Pkwy Apt 518, Jacksonville, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164850434.
Healthcare Provider's Profile
| Full Name | Corey Bruce |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 1809 E.broadway St. Suite 122, Oviedo, 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: 1164850434
- Provider Enumeration Date: 10/24/2013
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Corey Bruce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164850434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | 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. Corey Bruce 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 |
|---|
Corey Bruce,
6650 Corporate Center Pkwy Apt 518,
Jacksonville, FL 32216-8733
Ph: (904) 718-9607 | Corey Bruce,
1809 E.broadway St. Suite 122,
Oviedo, FL 32765
Ph: (407) 359-5693 |
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