BRUCE EDWARD WIITA (NPI# 1013959741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013959741 |
| Entity Type | Individual |
| Full Name | BRUCE EDWARD WIITA |
| Credential | M.D. |
| Practice Address |
1002 S Old Dixie Hwy Suite 104 Jupiter FL 33458-7202 |
| Mailing Address |
2234 Colonial Blvd Attn: Payer Contracting & Relations Dept. Fort Myers FL 33907-1412 |
| Practice Telephone | 5617475885 |
| Practice Fax Number | 5617435456 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2017-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 0014196 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | OPTIMUM | P971351 | 01 |
| FL | FREEDOM | P996325 | 01 |
| FL | AVMED | 210784 | 01 |
| FL | WELLCARE-MEDICARE | 1261707 | 01 |
| FL | CIGNA | 2180836 | 01 |
| FL | RR MEDICARE | P01649432 | 01 |
| FL | CAREPLUS | 1022104 | 01 |
| FL | MOLINA | QMP000004225143 | 01 |
| Street Address |
1002 S OLD DIXIE HWY SUITE 104 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538121298 | Barry Marc Miskin | Surgery | 1002 S Old Dixie Hwy, Suite 304, Jupiter, FL 33458-7202 | 2006-04-06 |
| 1770010548 | Anesthesiology of Jupiter, Pa. | Anesthesiology | 1002 S Old Dixie Hwy, Suite 302, Jupiter, FL 33458-7202 | 2017-05-11 |
| 1538514195 | Primary Care Services of Jupiter Medical Specialists, LLC | Family Medicine | 1002 S Old Dixie Hwy, Suite 206, Jupiter, FL 33458-7202 | 2016-05-02 |
| 1235508185 | 21st Century Oncology LLC | Urology | 1002 S Old Dixie Hwy, Suite 104, Jupiter, FL 33458-7202 | 2015-09-22 |
| 1629446992 | 21st Century Oncology LLC | Urology | 1002 S Old Dixie Hwy, Suite 104, Jupiter, FL 33458-7202 | 2015-09-03 |
| 1891126082 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 1002 S Old Dixie Hwy, Suite 304, Jupiter, FL 33458-7202 | 2013-12-12 |
| 1073944260 | General Surgery of Jupiter Medical Specialists, LLC | Surgery | 1002 S Old Dixie Hwy, Suite 203, Jupiter, FL 33458-7202 | 2013-12-12 |
| 1467796797 | Jupiter Hand To Shoulder, LLC | Surgery | 1002 S Old Dixie Hwy, Suite 105, Jupiter, FL 33458 | 2012-11-27 |
| 1871854570 | Florida Hand Rehabilitation Inc | Occupational Therapist | 1002 S Old Dixie Hwy, Suite 105, Jupiter, FL 33458-7202 | 2012-05-30 |
| 1780900449 | Thebaut Consulting Inc., Dba Palm Beach Hand | Orthopaedic Surgery | 1002 S Old Dixie Hwy, Suite 105, Jupiter, FL 33458-7202 | 2010-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013422054 | Florida Urology Associates Inc | Urology | 240 W Indiantown Rd Ste 107, Jupiter, FL 33458-3548 | 2017-12-13 |
| 1326380460 | Mark Reinhart Kaufman | Urology | 19010 Loxahatchee River Rd, Jupiter, FL 33458-2412 | 2013-03-26 |
| 1336453877 | Daniel J Caruso, M.d., P.a | Urology | 221 Greenwich Cir Ste 107, Jupiter, FL 33458-2892 | 2010-07-26 |
| 1679744205 | Frank Andrew Celigoj | Urology | 210 Jupiter Lakes Blvd Ste 4106a, Jupiter, FL 33458-7190 | 2008-03-24 |
| 1194755033 | Adult Urology Clinic Pa | Urology | 1002 Old Dixie Hwy., Suite 104, Jupiter, FL 33458-5700 | 2006-07-04 |
| 1578031985 | South Florida Urology Institute LLC | Urology | 210 Jupiter Lakes Blvd Ste 4106a, Jupiter, FL 33458-7190 | 2018-11-05 |
| 1235508185 | 21st Century Oncology LLC | Urology | 1002 S Old Dixie Hwy, Suite 104, Jupiter, FL 33458-7202 | 2015-09-22 |
| 1447629936 | 21st Century Oncology LLC | Urology | 2141 S Highway A1a Alt, Suite 420, Jupiter, FL 33477-4072 | 2015-09-15 |
| 1629446992 | 21st Century Oncology LLC | Urology | 1002 S Old Dixie Hwy, Suite 104, Jupiter, FL 33458-7202 | 2015-09-03 |
| 1932333911 | Evan G Rosen M D P A | Urology | 2141 S Alternate A1a, Suite 420, Jupiter, FL 33477-4072 | 2009-05-06 |
| Find all providers in JUPITER | ||||
Please comment or provide details below to improve the information on BRUCE EDWARD WIITA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.