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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 |