Provider Demographics
NPI:1336646413
Name:BRUNE, DAVID E (MA)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:BRUNE
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13529 HAPPY HILL RD
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33525-0426
Mailing Address - Country:US
Mailing Address - Phone:352-467-3555
Mailing Address - Fax:
Practice Address - Street 1:13529 HAPPY HILL RD
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33525-0426
Practice Address - Country:US
Practice Address - Phone:352-467-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH16318101YM0800X
FLMH18129101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health