RICHARD R BRUNELLE MD, PA
Medical Practice at Habana Ave, Tampa, FL

License number
Florida ME25656
Category
Medical Practice
Type
Specialist
Owner
Name: DR. RICHARD R BRUNELLE MD
Title: PHYSICIAN
Phone: (813) 873-1850
Address
Address
508 S Habana Ave SUITE 370, Tampa, FL 33609
National Provider ID: 1518237049
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Richard R Brunelle Md Pa

508 S Habana Ave STE 370, Tampa, FL 33609

Status:
Inactive
Industry:
Medical Practice, Medical Doctor's Office
Doing business as:
Richard R. Brunelle, M.D., PA
Registration:
Aug 1, 1980
Phone:
(813) 873-1850 (Phone)
Description:
Richard R Brunelle Md Pa is a Medical Practice company located in 508 S Habana Ave Ste 370, Tampa, Florida, United States.
State ID:
680140
Business type:
Domestic for Profit Corporation
President:
Richard R. Brunelle President, inactive
Agent:
James P. Hines

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