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Dr. Christopher D Brukoff

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NPI Number Detailed Information

Provider Information:

Name: Dr. Christopher D Brukoff
Gender: M
Provider License Number If Given: ME67900

NPI Information:

NPI: 1790770204
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 10/13/2011

Provider Business Mailing Address:

Address: 2653 STICKNEY POINT RD
Sarasota, FL 34231
Phone Number: 9413428200
Fax Number: 9413428201

Provider Business Practice Location Address:

Address: 2653 STICKNEY POINT RD
Sarasota, FL 34231
Phone Number: 9413428200
Fax Number: 9413428201

Provider Taxonomy:

Primary: 207L00000X
Secondary (if any):
State: FL

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