Provider Demographics
NPI:1124118138
Name:BRUNY, ROBERT RAMSES (PA)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:RAMSES
Last Name:BRUNY
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:8500 SW 92ND ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7390
Mailing Address - Country:US
Mailing Address - Phone:305-279-3878
Mailing Address - Fax:305-279-1920
Practice Address - Street 1:8500 SW 92ND ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7390
Practice Address - Country:US
Practice Address - Phone:305-279-3878
Practice Address - Fax:305-279-1920
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9101765363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant