| Reginald Bruno, Edd, Lcsw, Mcap | |
|
9990 Coconut Road Attn. Emily - Bes Manager Bonita Springs FL 34135 | |
| (239) 770-7267 | |
| Not Available |
| Full Name | Reginald Bruno, Edd, Lcsw, Mcap |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9990 Coconut Road, Bonita Springs, Florida |
| Authorized Official Name and Position | Reginald Myron Bruno (CEO / MANAGER/MEMBER) |
| Authorized Official Contact | 2397707267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reginald Bruno, Edd, Lcsw, Mcap 10970 S. Cleveland Ave. #303 Bruno And Prado, Pllc (attn: Kathy Bruno) Fort Myers FL 33919 Ph: (239) 770-7267 | Reginald Bruno, Edd, Lcsw, Mcap 9990 Coconut Road Attn. Emily - Bes Manager Bonita Springs FL 34135 Ph: (239) 770-7267 |
| NPI Number | 1164942686 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 06/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164942686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW9243 (Florida) | Primary |
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