Individual
CARLOS RAUL BARRAMEDA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1114 VINETREE DR, BRANDON, FL 33510-2086
(813) 312-8727
Mailing address
1114 VINETREE DR, BRANDON, FL 33510-2086
(813) 312-8727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1959
PR
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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