Healthcare Provider Details

I. General information

NPI: 1609935378
Provider Name (Legal Business Name): BRUCE M FISCHER DC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 MEADOWS RD SUITE 213
BOCA RATON FL
33486-2348
US

IV. Provider business mailing address

851 MEADOWS RD SUITE 213
BOCA RATON FL
33486-2348
US

V. Phone/Fax

Practice location:
  • Phone: 561-392-1333
  • Fax: 561-392-9707
Mailing address:
  • Phone: 561-392-1333
  • Fax: 561-392-9707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCH6527
License Number StateFL

VIII. Authorized Official

Name: DR. BRUCE MICHAEL FISCHER
Title or Position: OWNER
Credential: D.C.
Phone: 561-392-1333