MEDICARE: DR. MICHAEL DOMINIC BRUNO DO

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
1	207R00000X	Internal Medicine Physician	OS8297	FL
2	208M00000X	Hospitalist Physician	OS8297	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01012142	OTHER	FL	MEDICARE RAILROAD PROVIDER NUMBER

Other Identifiers

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

General Provider Information

NPI Number	:	1942282959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL DOMINIC BRUNO DO

Provider Business Mailing Address
First Line	:	PO BOX 10744
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33757-8744
Country	:	US
Telephone Number	:	727-532-0002
Fax Number	:

Provider Business Practice Location Address
First Line	:	3231 MCMULLEN BOOTH RD
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-6607
Country	:	US
Telephone Number	:	727-725-6526
Fax Number	:	727-266-4931

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	04/09/2014

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Directions to “ DR. MICHAEL DOMINIC BRUNO DO” Practice Location

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