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PASQUAL BRACERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12315 LAKE UNDERHILL RD STE A, ORLANDO, FL 32828-4507
(407) 380-0302
(407) 380-5127
Mailing address
3300 S FISKE BLVD BLDG A, ROCKLEDGE, FL 32955-4306
(407) 380-0302

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
ME49965
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03928
BCBS - INDIVIDUAL
FL
05
045-914-300
FL
01
0700168
UNITED HEALTHCARE
FL
01
205242
AVMED
FL
01
2446154
AETNA HMO - GROUP
FL
05
261-853-200
FL
05
261-853-201
FL
01
38471
BCBS - GROUP LOC. 1
FL
01
38471A
BCBS - GROUP LOC. 2
FL
01
4278951
AETNA PPO - INDIVIDUAL
FL
01
4425436
AETNA PPO - GROUP
FL
01
59-2873107 - D
HUMANA
FL
01
922260
AETNA - INDIVIDUAL
FL
01
OA173
MEDICARE HF
FL
01
P1830864
OXFORD HEALTH
FL
Enumeration date
08/10/2006
Last updated
08/31/2021
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