Individual
DR. BRUNO MICHAEL MATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2881 DELANEY AVE, ORLANDO, FL 32806-5411
(407) 652-6000
Mailing address
929 S SPIGEL DR, VIRGINIA BEACH, VA 23454-1817
(757) 416-4886
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
Primary
ME169881
FL
2084N0400X
Neurology Physician
0101243229
VA
2084N0400X
Neurology Physician
234744
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02623756
—
NY
Enumeration date
09/02/2005
Last updated
10/24/2024
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