Individual
MRS. MELISSA MARIE BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6804 CECELIA DRIVE, NEW PORT RICHEY, FL 34653-4935
(855) 232-0644
(888) 546-0488
Mailing address
6804 CECELIA DRIVE, NEW PORT RICHEY, FL 34653-4935
(855) 232-0644
(888) 546-0488
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100790
FL
Other
Enumeration date
08/30/2006
Last updated
12/01/2022
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