Individual
CONNOR LEE BRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 615-7577
Mailing address
3220 W LAWN AVE, TAMPA, FL 33611-1929
(813) 909-3656
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME166978
FL
Other
Enumeration date
03/09/2020
Last updated
07/02/2024
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