Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bruce R Witten MD PA

Organization Specialist · NPI 1649457524

Bruce R Witten MD PA is a Specialist in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

301 Health Park Blvd Ste 323
St Augustine, FL 32086-5793
Phone: (904) 829-6441
Fax: (904) 829-2452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME0013869 (FL)

Record details

NPI number1649457524
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Witten — Owner · (904) 829-6441
NPI enumeratedJanuary 23, 2008
Last updated in NPPESJanuary 23, 2008
Mailing address301 Health Park Blvd, Suite 323, St Augustine, FL 32086-5793

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