| 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 |