Mill Creek Family Care
NPI #1255362034 in St Augustine, Florida
Provider Information
- NPI Number
- 1255362034
- Entity Type
- Organization
- Organization Name
- Mill Creek Family Care
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 475 W TOWN PL
- Address 2
- SUITE 105
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32092-3648
- Phone
- (904) 940-1441
Authorized Official
- Name
- DR. TRACI L BRAGG, MD
- Title
- OWNER/PHYSICIAN
- Phone
- (904) 940-1441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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