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Individual

ROBERT EDWARD BRAUNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
15328 WINDING CREEK DR, TAMPA, FL 33613-1218
(813) 789-6160
Mailing address
15328 WINDING CREEK DR, TAMPA, FL 33613-1218
(813) 789-6160

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME0039272
FL
208600000X
Surgery Physician
Primary
ME39272
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
067627600
FL
01
205098
AVMED
FL
01
231903
AMERIGROUP
FL
01
30430
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/26/2006
Last updated
08/25/2015
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