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NPI Code Detail

MEDICARE: JOSEPH DESTIN BRUTUS

MEDICARE: JOSEPH DESTIN BRUTUS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianFL

General Provider Information

NPI Number : 1750259388
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH DESTIN BRUTUS
Provider Business Mailing Address
First Line : 1638 ACCLAIM RD
Second Line :
City : APOPKA
State : FL
Zip : 32703-8587
Country : US
Telephone Number : 407-371-5959
Fax Number :
Provider Business Practice Location Address
First Line : 5959 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4633
Country : US
Telephone Number : 321-972-4039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2025
Last Update Date : 12/14/2025

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Directions to “ JOSEPH DESTIN BRUTUS ” Practice Location

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