Richard S Bragg MD PA

NPI #1598821597 in Lake Mary, Florida

Provider Information

NPI Number: 1598821597
Entity Type: Organization
Organization Name: Richard S Bragg MD PA
Primary Specialty: Family Medicine
Enumeration Date: Dec 28, 2006
Last Updated: Apr 2, 2008

Practice Location

Address: 580 RINEHART RD
Address 2: SUITE 110
City: Lake Mary
State: Florida
ZIP Code: 32746
Phone: (407) 805-8989

Authorized Official

Name: DR. RICHARD S BRAGG, MD
Title: PRESIDENT
Phone: (407) 805-8989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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