Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Yvonne L Bruner, PA-C

Individual provider Dermatology Physician · NPI 1417421066

Yvonne L Bruner, PA-C is a Dermatology Physician in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4307 71st St N
St Petersburg, FL 33709-4513
Phone: (312) 953-9787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 9111861 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence 9111861 (FL)

Record details

NPI number1417421066
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 16, 2019
Last updated in NPPESOctober 18, 2019

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