Dixon, Bruce Martin

Dixon, Bruce Martin is an sole proprietor health care provider with primary practice located at 10000 W Colonial Dr Ste 284 , Ocoee FL 34761-3432. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Dixon, Bruce Martin can be contacted via phone (321) 841-1570.

Contact Information

Primary practice address
10000 W Colonial Dr Ste 284 Ocoee FL 34761-3432
Phone: (321) 841-1570
Fax: (321) 841-1569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X OS15783 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X OS15783 Florida

Profile Details

NPI number 1932618162
LBN Legal business name Dixon, Bruce Martin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2017
Last updated Jul 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932618162 NPPES
Florida MEDICAID 118423300

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