Individual
DR. BRUCE M BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 NW 13TH ST, BOCA RATON, FL 33486-2305
(619) 955-5966
Mailing address
701 NW 13TH ST, BOCA RATON, FL 33486-2305
(615) 955-5966
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
ME133095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005000261W
HUMANA
—
05
—
34210200
—
WI
Enumeration date
05/12/2006
Last updated
06/28/2021
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