Search › Florida › 204D00000X
Jonathan Bruner, D.O
NPI 1235331901 · on the registry since 2007 · sole proprietor
Practice
- Address
- 905 W Platt St
Tampa, FL 33606 - Phone
- (813) 485-5780
- Organisation at this address
- Derma Direct Pllc
R Maurice Bonilla M D P A
Osteopathic Medicine Tampa, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 204D00000X
204D00000X
- Also registered as
- 204D00000X
- Licence states on file
- MI, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida