Provider Demographics
NPI:1235400474
Name:BRUNO, WILLIAM E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:BRUNO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 NW 106TH TER
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-2314
Mailing Address - Country:US
Mailing Address - Phone:954-431-8810
Mailing Address - Fax:954-885-6492
Practice Address - Street 1:1920 NW 106TH TER
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-2314
Practice Address - Country:US
Practice Address - Phone:954-431-8810
Practice Address - Fax:954-885-6492
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL014286208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics