Individual
LORNA ANN BRUDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
105 W MILLER ST, ORLANDO, FL 32806-3910
(407) 648-3800
(407) 425-5203
Mailing address
105 W MILLER ST, ORLANDO, FL 32806-3910
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
25MB08988300
NJ
207VX0201X
Gynecologic Oncology Physician
Primary
OS10386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001781200
—
FL
Enumeration date
04/18/2006
Last updated
03/17/2018
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