Richard S Bragg Md Pa
Primary Care Clinic/Center in Lake Mary, FL(View on Map)
Legal Business Name
Richard S Bragg Md Pa
NPI Number
1194000554
NPI Type
Organization
Enumeration Date
10/18/2011
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME0065139
Contact
Information
Purpose
Mailing
Location
Address
580 RINEHART RD
580 RINEHART RD
City
Lake Mary
Lake Mary
State
FL
FL
Postal Code
32746-1551
32746-1551
Country
US
US
Telephone Number
(407) 805-8989
(407) 805-8989
Authorized Official
Name
Richard Bragg
Title or Position
PRESIDENT
Telephone Number
(407) 805-8989
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/18/2011
Provider Address
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