Individual
DR. MARK BRASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
(813) 828-2273
Mailing address
3250 ZEMKE AVE, TAMPA, FL 33621-5023
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
27434
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2015
Last updated
06/10/2024
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