Bruzzone, Maria Jose

Bruzzone, Maria Jose is an individual health care provider with primary practice located at 1600 Sw Archer Rd Department Of Neurology, Gaineville FL 32610. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Bruzzone, Maria Jose can be contacted via phone (352) 273-5500.

Contact Information

Primary practice address
1600 Sw Archer Rd Department Of Neurology Gaineville FL 32610
Phone: (352) 273-5500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME133395 Florida
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 036139738 Illinois

Profile Details

NPI number 1679831812
LBN Legal business name Bruzzone, Maria Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2012
Last updated Mar 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679831812 NPPES
Florida MEDICAID 023919800

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