Individual
MRS. ADRIENNE BRUCCOLERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4202 E FOWLER AVE, TAMPA, FL 33620
(718) 541-9831
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9475652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03362769
—
NY
05
—
100797000
—
FL
01
—
2B5KV
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/16/2008
Last updated
10/29/2020
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