BRUCE GRAHAM DOUGLAS N.P.
NPI 1811250459
Nurse Practitioner - Family in Cypress Gardens, FL

Active since June 19, 2012
400 EL CAMINO DR, #210, CYPRESS GARDENS, FL 33884(863) 232-9922 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bruce Graham Douglas N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE GRAHAM DOUGLAS N.P. (NPI 1811250459) is an individual family provider in Cypress Gardens, Florida, licensed in Florida (ARNP2832442) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1811250459
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRUCE GRAHAM DOUGLASCredential: N.P.
Location Address400 EL CAMINO DR, #210Cypress Gardens, FL 33884-1697
Mailing Address400 El Camino Dr, #210Cypress Gardens, FL 33884-1697 · (863) 232-9922
Sole ProprietorYes
Enumeration DateJune 19, 2012
NPI 1811250459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · ARNP2832442
400 EL CAMINO DR, Cypress Gardens, FL 33884

Other Identifiers 1

Medicare UPINP29047FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Douglas's NPI number?

The NPI number for Bruce Douglas is 1811250459. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Bruce Douglas located?

Bruce Douglas practices at 400 El Camino Dr #210, Cypress Gardens, FL 33884. The listed phone number is (863) 232-9922.

What is Bruce Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bruce Douglas was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.