| 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 |
| Experience | 2 Years |
| Location | 216 Frederick St, Pierson, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093544876 | NPI | - | NPPES |
| 123878600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Adventhealth Tampa | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Florida Health Services, Inc | 0547249518 | 9 |
| Adventist Health System Sunbelt, Inc. | 6406849256 | 212 |
| Entity Name | Adventist Health System Sunbelt, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073565610 PECOS PAC ID: 6406849256 Enrollment ID: O20040406001849 |
| Entity Name | Northeast Florida Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992792311 PECOS PAC ID: 0547249518 Enrollment ID: O20040819000233 |
| 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 |