Individual
MR. JOSEPH BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
851 TRAFALGAR CT STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
793427
NY
367500000X
Certified Registered Nurse Anesthetist
ARNP9348972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
FLORIDA BLUE
FL
05
—
PENDING
—
FL
Enumeration date
07/10/2018
Last updated
01/14/2025
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