Organization
RICHARD R BRUNELLE MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD R BRUNELLE MD (PHYSICIAN)
(813) 873-1850
Entity
Organization
Contact information
Practice address
508 S HABANA AVE, SUITE 370, TAMPA, FL 33609-4181
(813) 873-1850
(813) 873-8046
Mailing address
508 S HABANA AVE, SUITE 370, TAMPA, FL 33609-4181
(813) 873-1850
(813) 873-8046
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME25656
FL
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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