Organization
BRACCIANO DERMATOLOGY PLC
Active
Organization
BRACCIANO DERMATOLOGY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL BRACCIANO SR. DO (PHYSICIAN OWNER)
(941) 360-2255
Entity
Organization
Contact information
Practice address
8430 COOPER CREEK BLVD, SUITE 102, UNIVERSITY PARK, FL 34201
(941) 360-2255
(941) 487-1777
Mailing address
6539 FLYCATCHER LN, BRADENTON, FL 34202-8269
(941) 360-2255
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
OS7345
FL
Other
Enumeration date
05/15/2006
Last updated
10/19/2011
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