Individual
DR. MICHAEL DOMINIC BRUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3231 MCMULLEN BOOTH RD, SAFETY HARBOR, FL 34695-6607
(727) 725-6526
(727) 266-4931
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS8297
FL
208M00000X
Hospitalist Physician
Primary
OS8297
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265527600
—
FL
01
—
P01012142
MEDICARE RAILROAD PROVIDER NUMBER
FL
Enumeration date
11/16/2005
Last updated
04/09/2014
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