Individual
DR. DAVID MICHAEL BRACCIANO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8430 COOPER CREEK BLVD, SUITE 102, UNIVERSITY PARK, FL 34201-2016
(941) 360-2255
(941) 487-1777
Mailing address
4911 BENITO CT, BRADENTON, FL 34211-8517
(941) 753-1510
(941) 487-1777
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
OS 7345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112939371
—
MI
Enumeration date
04/11/2006
Last updated
08/14/2019
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