| Richard S Bragg Md Pa | |
|
580 Rinehart Rd Suite 110 Lake Mary FL 32746 | |
| (407) 805-8989 | |
| (407) 805-8833 |
| Full Name | Richard S Bragg Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 580 Rinehart Rd, Lake Mary, Florida |
| Authorized Official Name and Position | Richard S Bragg (PRESIDENT) |
| Authorized Official Contact | 4078058989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S Bragg Md Pa 580 Rinehart Rd Suite 110 Lake Mary FL 32746 Ph: (407) 805-8989 | Richard S Bragg Md Pa 580 Rinehart Rd Suite 110 Lake Mary FL 32746 Ph: (407) 805-8989 |
| NPI Number | 1598821597 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 04/02/2008 |
| Medicare PECOS PAC ID | 7113950452 |
|---|---|
| Medicare Enrollment ID | O20050916000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598821597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME65139 (Florida) | Primary |
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