Individual
MR. DAVID BRANGACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 HERITAGE LAKE CT, LUTZ, FL 33558-9725
(813) 436-1845
Mailing address
4101 HERITAGE LAKE CT, LUTZ, FL 33558-9725
(813) 436-1845
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/03/2018
Last updated
02/03/2018
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