David R Brunetti M D P a

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

DAVID R BRUNETTI M D P A

Practice address

616 N Palmetto St
Leesburg, FL 34748-4417

Phone

(352) 787-4567

Fax

(352) 787-0370

NPI assigned

Feb 6, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David R Brunetti, MD

Title

Owner

Phone

(352) 787-4567

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1043498660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 N PALMETTO ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484417",
            "telephone_number": "352-787-4567",
            "fax_number": "352-787-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 N PALMETTO ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484417",
            "telephone_number": "352-787-4567",
            "fax_number": "352-787-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R BRUNETTI M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "BRUNETTI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-787-4567",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.