Individual provider · NPI-1

Dr. Jonathan William Brugger, M.D.

Ophthalmology · Sarasota, FL

NPI number1013172105

StatusActive

Last updated in NPPESSep 3, 2020

Details

NPI: 1013172105
Entity type: Individual (NPI-1)
Name: Dr. Jonathan William Brugger
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jul 28, 2008
Certification date: Sep 3, 2020
Last updated: Sep 3, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207W00000X	Ophthalmology	ME145189	FL	Yes
207WX0107X	Ophthalmology, Retina Specialist	57881	TN
207WX0107X	Ophthalmology, Retina Specialist	ME145189	FL
207W00000X	Ophthalmology	57881	TN

Practice location

2401 University Pkwy
Building 1, Suite 205
Sarasota, FL 34243-2973

Phone 419-351-1200 · Fax 941-351-1201

Mailing address

2401 University Pkwy
Building 1, Suite 205
Sarasota, FL 34243-2973

Phone 419-351-1200 · Fax 941-351-1201

Other practice locations

6947 Crumpler Blvd Ste 101
Olive Branch, MS 38654-1922

Phone 901-767-4499

601 E Matthews Ave
Jonesboro, AR 72401-3145

Phone 901-767-4499

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Phone 757-953-2311

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