Provider Demographics
NPI:1366400970
Name:BRUNO, ANDREW FELIX (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:FELIX
Last Name:BRUNO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1609 SE 3RD CT
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-4418
Mailing Address - Country:US
Mailing Address - Phone:954-427-6363
Mailing Address - Fax:954-427-6364
Practice Address - Street 1:1609 SE 3RD CT
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-4418
Practice Address - Country:US
Practice Address - Phone:954-427-6363
Practice Address - Fax:954-427-6364
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0017617207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL71056Medicare PIN
D57943Medicare UPIN
FL0569670001Medicare NSC