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NPI Code Detail

MEDICARE: DR. ROLAND BRUTUS MD

MEDICARE: DR. ROLAND BRUTUS MD
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
1207L00000XAnesthesiology PhysicianMD05924RI
2207L00000XAnesthesiology PhysicianME83974FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497754303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROLAND BRUTUS MD
Provider Business Mailing Address
First Line : 722 WEST COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32818
Country : US
Telephone Number : 321-960-8209
Fax Number :
Provider Business Practice Location Address
First Line : 1800 PEMBROOK DR STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32810-6378
Country : US
Telephone Number : 321-200-4489
Fax Number : 407-554-5860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 01/11/2023

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Directions to “ DR. ROLAND BRUTUS MD” Practice Location

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