Individual
MRS. ELIZA G BRUSCATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
83 W MILLER ST, ORLANDO, FL 32806-2028
(321) 841-5281
(407) 425-5947
Mailing address
83 W MILLER ST, ORLANDO, FL 32806-2028
(321) 841-5281
(407) 425-5947
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
049162
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
ME117001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000884903G
—
GA
05
—
000884903H
—
GA
05
—
009392700
—
FL
01
—
ME117001
MEDICAL LICENSE
FL
Enumeration date
10/24/2006
Last updated
11/15/2016
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