Provider Demographics
NPI:1609935378
Name:BRUCE M FISCHER DC PA
Entity Type:Organization
Organization Name:BRUCE M FISCHER DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-392-1333
Mailing Address - Street 1:851 MEADOWS RD
Mailing Address - Street 2:SUITE 213
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2348
Mailing Address - Country:US
Mailing Address - Phone:561-392-1333
Mailing Address - Fax:561-392-9707
Practice Address - Street 1:851 MEADOWS RD
Practice Address - Street 2:SUITE 213
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2348
Practice Address - Country:US
Practice Address - Phone:561-392-1333
Practice Address - Fax:561-392-9707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6527111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty