Individual
AMBER DAWN BRUENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2501 N ORANGE AVE, SUITE 381, ORLANDO, FL 32804-4623
(407) 898-5452
(407) 894-1183
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIALING DEPARTMENT, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106697
FL
Other
Enumeration date
08/03/2012
Last updated
09/10/2015
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