| Derek Wayne Bruner, FNP-BC | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-3003 | |
| (352) 273-6438 | |
| (352) 273-8612 |
| Full Name | Derek Wayne Bruner |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376228528 | NPI | - | NPPES |
| 119130600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11026910 (Florida) | Primary |
| Entity Name | Integumetrix |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366895716 PECOS PAC ID: 1759669773 Enrollment ID: O20191219001277 |
| Entity Name | B & J Express Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942812540 PECOS PAC ID: 4183043128 Enrollment ID: O20200924002633 |
| Entity Name | Arukah Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245077924 PECOS PAC ID: 7315479961 Enrollment ID: O20241021002082 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Wayne Bruner, FNP-BC Po Box 1787, Belleview, FL 34421-1787 Ph: () - | Derek Wayne Bruner, FNP-BC 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 273-6438 |
Susan Lynette Fort, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2528 Nw 32nd St, Gainesville, FL 32605 Phone: 352-224-8161 Fax: 321-320-8780 | |
Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 100224, Gainesville, FL 32610 Phone: 352-273-7832 Fax: 352-273-7849 | |
Mrs. Brandace Michele Kenworthy, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Miss Sadaf Nazar Malik, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 904-265-0111 | |
Meghan M Deerman, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0761 | |
Mrs. Sara Renee West, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9000 Fax: 352-392-8413 | |
Sandrie Rose Dieujuste, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0045 |