Individual
BRANDON TRAGESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4121 W HIGHWAY 98, PANAMA CITY, FL 32401-1170
(850) 914-7060
(850) 914-7065
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 475-4686
(850) 475-4619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105986
FL
363A00000X
Physician Assistant
PAT9105986
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021361300
—
FL
Enumeration date
06/13/2011
Last updated
08/07/2019
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