Bradley Bragg MD

NPI 1093701443 - Emergency Medicine - 207P00000X

NPI Details
NPI 1093701443
Gender Male
Enumeration Date 09/21/2005
Last Updated 03/29/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
4500 SAN PABLO RD S
JACKSONVILLE FL, 32224-1865, US
Phone (904) 953-2000
Fax
Business Location
4500 SAN PABLO RD S
JACKSONVILLE FL, 32224-1865, US
Phone (904) 953-2000
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Florida
License Number ME89850
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According to our database, Bradley Bragg MD NPI is 1093701443, taxonomy code is 207P00000X and license number is ME89850, license state is located at Florida. Bradley Bragg MD physically located at 4500 San Pablo Rd S, Jacksonville FL, 32224-1865. NPI Number Bradley Bragg MD has the Individual type.

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1093701443 NPI number is provided on an as is basis without warranty of any kind. 1093701443 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Bragg MD are for informational purposes only.