Whalio Doctors

NPI 1033221411

Tina Bruefach, PA

Practitioner Medical Physician Assistant Ocoee, FL

Practice location

Address
11140 W Colonial Dr #3, Ocoee, FL 34761-3300
Phone
(407) 395-7040
Fax
(407) 395-7105
Mailing address
10000 W Colonial Dr, Ocoee, FL 34761-3400

Registered specialties (2)

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence PA2755 (FL)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA0002755 (FL)

Registry record

NPI
1033221411
Entity type
Individual
Sex (as registered)
Female
NPI issued
31 Aug 2006
Record last updated
12 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.