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Bruce J Edson Md Pa
Prescribing (Medical) Psychologist in Tampa, Florida
NPI 1922346030

Bruce J Edson Md Pa is a Prescribing (Medical) Psychologist based in Tampa, FL and is specialized in Prescribing (Medical). Bruce J Edson Md Pa practices in Tampa, FL. The NPI Number for Bruce J Edson Md Pa is 1922346030 and holds a License No. ME0055695 (Florida).

The current practice location address for Bruce J Edson Md Pa is 16554 N Dale Mabry Hwy, Tampa, FL and can be reached out via phone at 813-968-7188 and via fax at 813-715-9802.

Location: 16554 N Dale Mabry Hwy, Tampa, FL, 33618-1325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922346030
Provider Name
Bruce J Edson Md Pa
Credential
Provider Entity Type
Organization
Address
16554 N Dale Mabry Hwy, Tampa, FL, 33618-1325
Phone Number
813-968-7188
Fax Number
813-715-9802
Provider Enumeration Date
01/24/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16554 N Dale Mabry Hwy
City
Tampa
State
Florida
Zip
33618-1325
Phone Number
813-968-7188
Fax Number
813-715-9802
person
Provider Business Mailing Address Details
Address
16554 N Dale Mabry Hwy
City
Tampa
State
Florida
Zip
33618-1325
Phone Number
813-968-7188
Fax Number
813-715-9802
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
ME0055695 (Florida)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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