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Individual
DR. MARK H BRUS
Active
Individual
DR. MARK H BRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME69127
FL
208000000X
Pediatrics Physician
ME69127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253305700
—
FL
01
—
27964
BCBS
FL
01
—
4088305-002
CIGNA
FL
01
—
650512900027
TRICARE
FL
01
—
P00100540
RAILROAD MEDICARE
FL
Enumeration date
10/21/2005
Last updated
06/27/2014
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