| Doctor Name: | BETH ANN BRUNSMAN |
| NPI Number: | 1114256211 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A.C. |
| License Number: | PA9105901 |
| Business Practice Address: | 12957 Palms West Dr Ste 104 Loxahatchee, FL - 334704932 |
| Business Phone Number: | 5613336033 |
| Business Fax Number: | |
| Mailing Address: | 12957 Palms West Dr, Ste 104 LOXAHATCHEE |
| State: | FL |
| Postal Code: | 334704932 |
| Phone Number: | 5613336033 |
| Fax Number: | |
| NPI Enumeration Date: | 12/18/2009 |
| NPI Last Update Date: | 11/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA9105901 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |