Individual
MR. ANTHONY BROMAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12880 COMMODITY PL, TAMPA, FL 33626-3101
(813) 343-5500
(813) 343-5506
Mailing address
PO BOX 21686, TAMPA, FL 33622-1686
(813) 343-5500
(813) 343-5506
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.000894
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001193500
—
FL
Enumeration date
02/07/2006
Last updated
11/10/2009
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