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Individual

MR. RICHARD BENJAMIN BRAUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., ATC, LAT

Contact information

Practice address
1 BUCCANEER PL, TAMPA, FL 33607-5701
(919) 244-3141
Mailing address
121 HEIDINGER DR, CARY, NC 27511-5617
(919) 244-3141

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3971
FL

Other

Enumeration date
08/26/2016
Last updated
08/26/2016
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