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Organization

OSTEOPATHIC MEDICINE TAMPA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN BRUNER DO (OWNER/PHYSICIAN)
(813) 478-5780
Entity
Organization

Contact information

Practice address
905 W PLATT ST, TAMPA, FL 33606-2113
(813) 485-5780
Mailing address
905 W PLATT ST, TAMPA, FL 33606-2113
(813) 485-5780

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary

Other

Enumeration date
11/03/2025
Last updated
11/03/2025
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