Individual
TRISHA BRUTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13370 NE 9TH AVE, NORTH MIAMI, FL 33161-4114
(954) 624-2197
Mailing address
13370 NE 9TH AVE, NORTH MIAMI, FL 33161-4114
(954) 624-2197
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363AM0700X
Medical Physician Assistant
Primary
PA9115072
FL
Other
Enumeration date
02/22/2021
Last updated
10/25/2023
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