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Organization
RICHARD S BRAGG MD PA
Active
Organization
RICHARD S BRAGG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD S BRAGG MD (PRESIDENT)
(407) 805-8989
Entity
Organization
Contact information
Practice address
580 RINEHART RD, SUITE 110, LAKE MARY, FL 32746
(407) 805-8989
(407) 805-8833
Mailing address
580 RINEHART RD, SUITE 110, LAKE MARY, FL 32746
(407) 805-8989
(407) 805-8833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME65139
FL
Other
Enumeration date
12/28/2006
Last updated
04/02/2008
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