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

Bruce R Witten, MD

Individual provider Otolaryngology Physician · NPI 1962425207

Bruce R Witten, MD is an Otolaryngology Physician in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
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

301 Health Park Blvd Ste 323
St Augustine, FL 32086-5793
Phone: (904) 829-6441
Fax: (904) 829-2452
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Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME0013869 (FL)

Record details

NPI number1962425207
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 9, 2007
Mailing address301 Health Park Blvd, Suite 323, St Augustine, FL 32086-5793

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