Individual
DR. JOHN SALVATORE BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2685 SWAMP CABBAGE CT, FORT MYERS, FL 33901-9331
(239) 936-2522
(239) 936-7831
Mailing address
2685 SWAMP CABBAGE CT, FORT MYERS, FL 33901-9331
(239) 936-2522
(239) 936-7831
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME13183
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055527400
—
FL
01
—
15670
FLORIDA WELLCARE
FL
01
—
242907206
RAILROAD MEDICARE
FL
01
—
591745972
TAX ID #
FL
01
—
78251
MEDICARE PROVIDER NUMBER
FL
01
—
D58416
UPIN
FL
Enumeration date
10/16/2006
Last updated
09/25/2015
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