| Marlo Bruno, LLC | |
|
191 Preston Dr Pawleys Island SC 29585-6320 | |
| (610) 405-0436 | |
| Not Available |
| Full Name | Marlo Bruno, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 191 Preston Dr, Pawleys Island, South Carolina |
| Authorized Official Name and Position | Marlo Bruno (OWNER) |
| Authorized Official Contact | 6104050436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlo Bruno, LLC Po Box 761 Pawleys Island SC 29585-0761 | Marlo Bruno, LLC 191 Preston Dr Pawleys Island SC 29585-6320 Ph: (610) 405-0436 |
| NPI Number | 1104452770 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 03/16/2020 |
| Certification Date | 03/16/2020 |
| Medicare PECOS PAC ID | 9739519307 |
|---|---|
| Medicare Enrollment ID | O20200422001234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104452770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Marlo Denise Bruno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861787152 PECOS PAC ID: 5991921207 Enrollment ID: I20141008000267 |
Smith Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Baskervill Dr, Pawleys Island, SC 29585 Phone: 843-237-2672 Fax: 843-237-0369 |
Island House Calls LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11405 Ocean Hwy Unit 1, Pawleys Island, SC 29585 Phone: 853-979-4006 Fax: 853-979-0891 |
Pawleys Internal Medicine, P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9657 Ocean Hwy, Unit B, Suite 1, Pawleys Island, SC 29585 Phone: 843-235-8333 Fax: 843-235-8334 |
Litchfield Medical Center PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14866 Ocean Hwy, Pawleys Island, SC 29585 Phone: 843-235-0760 Fax: 843-235-3026 |
Roper St Francis Physician Partners Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14866 Ocean Hwy, Pawleys Island, SC 29585 Phone: 843-235-0760 Fax: 843-235-3026 |
Tidelands Health Pediatrics and Adult Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Business Center Dr, Pawleys Island, SC 29585 Phone: 843-314-1314 Fax: 843-314-1308 |