BRUNNER SURGICAL
Ambulatory Health at 5 Ave, Marianna, FL

License number
Florida ME0046858
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. RICHARD G BRUNNER
Title: PRESIDENT
Phone: (850) 209-4576
Address
Address
4318 5Th Ave, Marianna, FL 32446
National Provider ID: 1164830725
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Brunner Surgical Inc

4218 5 Ave, Marianna, FL 32447

Registration:
Jun 10, 2014
State ID:
P14000050064
Business type:
Domestic for Profit Corporation
Director, Presidents:
Sara Antley (Director, Vice President),Richard Brunner (Director, President)

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