Individual
AUDRA ANN BRUNETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
12120 MOON LAKE RD, NEW PORT RICHEY, FL 34654-1809
(727) 856-3588
Mailing address
6247 KRISTA DR, SPRING HILL, FL 34609-8929
(352) 684-3263
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
310101050360952
FL
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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