Individual
MAURIN BRUNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22751 YONGE RD, EUSTIS, FL 32736-8861
(352) 735-8011
(352) 735-8166
Mailing address
22751 YONGE RD, EUSTIS, FL 32736-8861
(352) 735-8011
(352) 735-8166
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003558000
—
FL
05
—
003558001
—
FL
05
—
003558002
—
FL
Enumeration date
06/24/2012
Last updated
09/26/2016
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