# MOBILITY MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710593769
- **Authorized official:** JONATHAN BRUNER DO (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (248) 385-3412

## Contact information

- **Practice address:** 3902 HENDERSON BLVD STE 208-9, TAMPA, FL 33629-5038
- **Practice address phone:** (248) 385-3412
- **Mailing address:** 3902 HENDERSON BLVD STE 208-9, TAMPA, FL 33629-5038
- **Mailing address phone:** (248) 385-3412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2020
- **Last updated:** 09/16/2020