Dr David R Bruah, MD | |
21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | |
(855) 979-5700 | |
Not Available |
Full Name | Dr David R Bruah |
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Gender | Male |
Speciality | Family Medicine |
Location | 21297 Olean Blvd Ste A, Port Charlotte, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962511634 | NPI | - | NPPES |
036065568 1 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-065568 (Illinois) | Secondary |
207Q00000X | Family Medicine | ME105412 (Florida) | Primary |
Entity Name | Millennium Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
Mailing Address | Practice Location Address |
---|---|
Dr David R Bruah, MD 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774 | Dr David R Bruah, MD 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 Ph: (855) 979-5700 |
Dr. Jean Murphy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19531 Cochran Blvd, Port Charlotte, FL 33948 Phone: 941-255-3535 Fax: 941-766-7999 | |
Ewa A Bialikiewicz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2450 Tamiami Trl Ste A, Port Charlotte, FL 33952 Phone: 941-624-2704 Fax: 941-627-6066 | |
Louise A Cohen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19531 Cochran Blvd, Port Charlotte, FL 33948 Phone: 941-255-3535 Fax: 941-766-7999 | |
Arturo Rodriguez-martin, MD PL Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22099 Elmira Blvd, Port Charlotte, FL 33952 Phone: 941-613-1351 Fax: 941-613-1591 | |
Dr. Paul B. Graniero, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21297 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 855-979-5700 Fax: 855-979-5701 | |
Dr. Gladys Perez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2315 Aaron St, Port Charlotte, FL 33952 Phone: 941-979-5700 Fax: 941-613-1387 | |
Dr. Michael Dominic Mozzetti Sr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3161 Harbor Blvd, Suite A, Port Charlotte, FL 33952 Phone: 941-629-1218 Fax: 941-625-9465 |