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Bruce E Wilson

  • Male

Medical Specialty

Professional ID

  • NPI: 1538188032
  • PECOS ID: 9335168731
  • Enrollment ID: I20051115000696
  • Credential(MD, DO, DPM): CNA
  • Medical School:
  • Medical School Graduation Year: 1982

Hospital Service

  • Hospital CCN1: 100299
  • Business Name (LBN)1: Lakewood Ranch Medical Center
  • Hospital CCN2: 100035
  • Business Name (LBN)2: Manatee Memorial Hospital

Medical Practices

  • Organization Name: Lakewood Ranch Anesthesia Pl
  • Group Practice ID assigned by PECOS: 9638074248
  • Number of Group Practice member: 79

Location

  • Address1: 206 2nd St E
  • Address2:
  • City: Bradenton
  • State: Florida
  • Zip Code: 34208
  • Phone Number: (941)745-6829

Location

  • Address1: 8330 Lakewood Ranch Blvd
  • Address2:
  • City: Lakewood Ranch
  • State: Florida
  • Zip Code: 34202
  • Phone Number: (941)745-7274

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):