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Individual

BRITTANY SORENSEN BRUGGEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME137728
FL
2080P0205X
Pediatric Endocrinology Physician
Primary
ME137728
FL
390200000X
Student in an Organized Health Care Education/Training Program
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110770900
FL
Enumeration date
04/23/2015
Last updated
07/15/2021
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