Provider Demographics
NPI:1568788842
Name:DE BRUNO, CYNTHIA KATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:KATHERINE
Last Name:DE BRUNO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 HIBISCUS DR
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-6512
Mailing Address - Country:US
Mailing Address - Phone:954-458-8908
Mailing Address - Fax:
Practice Address - Street 1:16470 NE 10TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-3710
Practice Address - Country:US
Practice Address - Phone:305-651-9988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0068855207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine