Maurin Brunet

Individual provider Active NPI Case Manager/Care Coordinator · Eustis, FL

NPI 1578826541 · NPPES record last updated Sep 26, 2016

Key facts

NPI
1578826541
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
22751 Yonge Rd
Eustis, FL 32736-8861
Phone
(352) 735-8011
Fax
(352) 735-8166
NPI assigned
Jun 24, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

22751 Yonge Rd
Eustis, FL 32736-8861

Mailing address

22751 Yonge Rd
Eustis, FL 32736-8861
Phone (352) 735-8011

Other identifiers

IdentifierTypeStateIssuer
003558000MedicaidFL
003558001MedicaidFL
003558002MedicaidFL

Other providers in Eustis, FL

All providers in Eustis, FL · Case Manager/Care Coordinator in Florida

Sources for this page

Verify at the official NPI Registry.