Individual ProviderMary BrunzieFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address7945 S Suncoast Blvd, Suite B, Homosassa, FL 34446-5005(352) 382-6111(352) 344-6481PECOS EnrollmentBased on the most recent information from CMS, provider Mary Brunzie does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1689784860Provider TypeIndividualFull NameBrunzie, MaryCredentialDOGenderFemaleSole ProprietorNoEnumeration Date8/30/2006Last Updated8/27/2015Contact InformationPractice LocationPractice Address7945 S Suncoast Blvd, Suite B, Homosassa, FL 34446-5005Phone(352) 382-6111Fax(352) 382-6112Mailing LocationMailing Address123 S Seminole Ave, Inverness, FL 34452-4735Phone(352) 344-6481Fax(352) 344-3920Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseOS007346FloridaProvider IdentifiersIDDescriptionIssuerID251202500DescriptionMedicaidIssuerUnlistedFlorida