Individual
EDWIN ALBERTO BRACHO BOSCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7171 N DALE MABRY HWY, TAMPA, FL 33614-2665
(813) 558-8070
Mailing address
7171 N DALE MABRY HWY, TAMPA, FL 33614-2665
(813) 558-8070
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-316
WI
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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