| |
7171 N Dale Mabry Hwy Suite 501 Tampa FL 33614-2630 | |
(813) 935-3221 | |
(813) 933-8149 |
Full Name | |
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Speciality | Family Medicine |
Location | 7171 N Dale Mabry Hwy, Tampa, Florida |
Authorized Official Name and Position | Edward W Braun (PRESIDENT) |
Authorized Official Contact | 8139353221 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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7171 N Dale Mabry Hwy Suite 501 Tampa FL 33614-2630 Ph: (813) 935-3221 | 7171 N Dale Mabry Hwy Suite 501 Tampa FL 33614-2630 Ph: (813) 935-3221 |
NPI Number | 1811002546 |
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Provider Enumeration Date | 08/21/2006 |
Last Update Date | 04/20/2008 |
Medicare PECOS PAC ID | 4284668716 |
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Medicare Enrollment ID | O20050923000103 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811002546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME510880 (Florida) | Primary |
Provider Name | Edward W Braun |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558330639 PECOS PAC ID: 1254300528 Enrollment ID: I20050927000146 |
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