Individual provider Active NPI

Teresita Perez Brunner, ARNP

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1770944456
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9280563 Issued in FL
Practice address
880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171
Phone
(866) 849-0692
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 317687 AZ
Family Nurse Practitioner 363LF0000X 0038132 OH
Family Nurse Practitioner 363LF0000X ARNP9280563 FL Primary
Nurse Practitioner 363L00000X 2025041038 MO
Family Nurse Practitioner 363LF0000X 1180821 TX
Family Nurse Practitioner 363LF0000X 71016582A IN
Nurse Practitioner 363L00000X APRN9280563 FL
Family Nurse Practitioner 363LF0000X 29643 SC
Family Nurse Practitioner 363LF0000X 244599 LA
Family Nurse Practitioner 363LF0000X 5021139 NC
Family Nurse Practitioner 363LF0000X 3-002038 AL
Family Nurse Practitioner 363LF0000X 37540 TN
Family Nurse Practitioner 363LF0000X GAA-NP004410 GA
Family Nurse Practitioner 363LF0000X SP031389 PA
Nurse Practitioner 363L00000X 226242 OK

Addresses

Primary practice location

880 SW 145TH Ave Ste 202
Pembroke Pines, FL 33027-6171

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

1037 S State Road 7 Ste 211
Wellington, FL 33414-6139
Phone (561) 798-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616001385 FL Practitioner - Nurse Practitioner 4183915499 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9280563FLMDNurse Practitioner
2025041038MOMDNurse Practitioner
226242OKMDNurse Practitioner
3-002038ALMDFamily Nurse Practitioner
317687AZMDFamily Nurse Practitioner
GAA-NP004410GAMDFamily Nurse Practitioner
71016582AINMDFamily Nurse Practitioner
244599LAMDFamily Nurse Practitioner
5021139NCMDFamily Nurse Practitioner
0038132OHMDFamily Nurse Practitioner
SP031389PAMDFamily Nurse Practitioner
29643SCMDFamily Nurse Practitioner
37540TNMDFamily Nurse Practitioner
1180821TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health LLC CurrentSince Jan 6, 2020 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Apr 23, 2025 Accepting new patients
Premier Physician Holdings, LLC CurrentSince May 15, 2023 Accepting new patients
Gastro Health, LLC CurrentSince Jan 6, 2020 Accepting new patients
Premier Urgent Care Center, LLC CurrentSince May 15, 2023 Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

4675 Linton Blvd
Ste 204
Delray Beach, FL 33445
Phone (561) 496-0808

6135 Lake Worth Rd
Ste 100
Greenacres, FL 33463

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947

880 SW 145th Ave
Ste 202
Pembroke Pines, FL 33027
Phone (615) 275-6612

1037 S State Road 7
Ste 113
Wellington, FL 33414

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1770944456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SW 145TH AVE STE 202",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276171",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1037 S State Road 7 Ste 211",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146139",
            "country_code": "US",
            "telephone_number": "561-798-3030",
            "fax_number": "561-798-8242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "TERESITA",
        "middle_name": "PEREZ",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "317687",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0038132",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9280563",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2025041038",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1180821",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016582A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9280563",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29643",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "244599",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021139",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-002038",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37540",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP004410",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031389",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "226242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.