Organization · Type 2 NPI
Richard S Bragg MD PA
Primary Care Clinic/Center · Lake Mary, FL
NPI number
1194000554
Active
Practice location
580 Rinehart Rd, Suite 110
Lake Mary, FL 32746-1551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | ME0065139 (FL) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1194000554
Richard S Bragg MD PA's National Provider Identifier is 1194000554, issued on Oct 18, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lake Mary, FL. The record was last updated on Oct 18, 2011.