| Michelle Y Bruzzo Md Pa | |
|
1905 Clint Moore Rd Suite 302 Boca Raton FL 33496-2658 | |
| (561) 988-5387 | |
| (561) 988-5388 |
| Full Name | Michelle Y Bruzzo Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1905 Clint Moore Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Michelle Y Bruzzo (PRESIDENT) |
| Authorized Official Contact | 5614774910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Y Bruzzo Md Pa 21191 Via Ventura Boca Raton FL 33433-2231 Ph: (561) 477-4910 | Michelle Y Bruzzo Md Pa 1905 Clint Moore Rd Suite 302 Boca Raton FL 33496-2658 Ph: (561) 988-5387 |
| NPI Number | 1013192392 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 11/06/2008 |
| Medicare PECOS PAC ID | 0840371308 |
|---|---|
| Medicare Enrollment ID | O20080123000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013192392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME78106 (Florida) | Primary |
| Provider Name | Michelle Y Bruzzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912073222 PECOS PAC ID: 0446349252 Enrollment ID: I20071201000164 |
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