Organization
MOBILITY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BRUNER DO (OWNER/MEDICAL DIRECTOR)
(248) 385-3412
Entity
Organization
Contact information
Practice address
3902 HENDERSON BLVD STE 208-9, TAMPA, FL 33629-5038
(248) 385-3412
Mailing address
3902 HENDERSON BLVD STE 208-9, TAMPA, FL 33629-5038
(248) 385-3412
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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