Individual
DR. PATRICK KENT BRUEGGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
15 E HIBISCUS BLVD, MELBOURNE, FL 32901-3101
(321) 508-7378
Mailing address
PO BOX 4, MELBOURNE, FL 32902-0004
(321) 508-7378
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO2457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122756900
—
FL
Enumeration date
03/22/2007
Last updated
03/06/2026
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