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

Bruce Blackwell, MD

Individual provider Family Medicine Physician · NPI 1750370862

Bruce Blackwell, MD is a Family Medicine Physician in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4137 Hunters Park Ln
Orlando, FL 32837-7669
Phone: (407) 304-1710
Fax: (407) 304-1778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME57535 (FL)

Record details

NPI number1750370862
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 20, 2005
Last updated in NPPESMay 9, 2011
Mailing addressPo Box 522468, Longwood, FL 32752-2468

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