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

Jacqueline Bruce

Individual provider Physical Therapist · NPI 1104701663

Jacqueline Bruce is a Physical Therapist in Private Practice in Port Orange, Florida. Qualified in 2016, 10 years ago. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

1675 Dunlawton Ave
Port Orange, FL 32127-4755
Phone: (386) 232-8943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT31789 (FL)

Record details

NPI number1104701663
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address802 E 21st Ave, New Smyrna Beach, FL 32169-3512

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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