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1508483702
THERESA BRUNNER
DAVIE, FL
NPI
1508483702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11007123)
Enumeration Date
2020-07-03
Last Update Date
2021-09-03
Business Address
THERESA BRUNNER FNP
5800 S UNIVERSITY DR
DAVIE, FL 33328-6102
Phone number: 954-377-0042
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Mailing Address
THERESA BRUNNER FNP
19153 CRYSTAL ST
WESTON, FL 33332-2434
Phone number: 850-832-5601
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