Jorge Luis Martinez Bruna, | |
216 Frederick St, Pierson, FL 32180-3024 | |
(386) 202-6025 | |
Not Available |
Full Name | Jorge Luis Martinez Bruna |
---|---|
Gender | Male |
Speciality | Physician Assistant - Medical |
Location | 216 Frederick St, Pierson, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093544876 | NPI | - | NPPES |
123878600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jorge Luis Martinez Bruna, 1205 S Woodland Blvd Ste 3, Deland, FL 32720-7464 Ph: (386) 202-6025 | Jorge Luis Martinez Bruna, 216 Frederick St, Pierson, FL 32180-3024 Ph: (386) 202-6025 |
Robert O Kessack Iii, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 216 Frederick St, Pierson, FL 32180 Phone: 386-749-9449 Fax: 386-749-2280 | |
Robert Rodriguez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 216 Frederick St, Pierson, FL 32180 Phone: 386-749-9449 Fax: 386-749-2280 |